DR. DEREK RYAN HOLMES (NPI# 1851519813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851519813 |
| Entity Type | Individual |
| Full Name | DR. DEREK RYAN HOLMES |
| Credential | D.O. |
| Practice Address |
1717 N 4th St Suite 101 Ponca City OK 74601-2748 |
| Practice Telephone | 5807671777 |
| Practice Fax Number | 5807622917 |
| Mailing Telephone | 5807671777 |
| Mailing Fax Number | 5807622917 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VH0002X |
Obstetrics & Gynecology Specialization: Hospice and Palliative Medicine |
4196 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200061280A | 05 | |
| OK | AETNA | 204825628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188348 | Derek J Holmes | Home Health | 10111 W Capitol Dr Ste 8, Wauwatosa, WI 53222-1335 | 2020-06-08 |
| Street Address |
1717 N 4TH ST SUITE 101 |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992092647 | Fairfax Medical Facilities Inc | Clinic/Center | 1717 N 4th St, Ste 102, Ponca City, OK 74601-2748 | 2011-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 207VH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Hospice and Palliative Medicine |
| An obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568683738 | Leslie Ann Ostler | Obstetrics & Gynecology | 719 E. 'b' Street, Jenks, OK 74037 | 2007-05-02 |
| 1548485527 | Schales Lukie Atkinson | Obstetrics & Gynecology | 20940 Highway 74, Elmore City, OK 73433-9775 | 2007-04-16 |
| 1114139334 | Debra Anne Crawford | Obstetrics & Gynecology | 4202 Sw Lee Blvd, Bldg B, Suite A, Lawton, OK 73505-8300 | 2007-05-03 |
| 1467671578 | Shelley Dawn Shoun | Obstetrics & Gynecology | 7912 E 31st Ct, Suite 220, Tulsa, OK 74145-1315 | 2007-04-25 |
| City | PONCA CITY |
| Zip Code | 74601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.