DR. LEWIS BALL HOLMES MD NPI 1063486454

NPI Information

NPI: 1063486454
Provider Name: DR. LEWIS BALL HOLMES, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Address:
55 FRUIT ST YAW 4
PEDIATRIC MEDICINE
BOSTON, MA
ZIP 02114
Phone: (617) 724-3358
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DR. Lewis Ball Holmes, MD is a clinical genetics (m.d.) medical genetics in Boston, MA. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Lewis Ball Holmes, MD NPI is 1063486454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST YAW 4
PEDIATRIC MEDICINE
BOSTON, MA
ZIP 02114-696
Phone: (617) 724-3358
Fax: (617) 724-1911

The enumeration date for this NPI number is 2/14/2006 and was last updated on 7/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		28697	MASSACHUSETTS	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	1206	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M07471	OTHER	MASSACHUSETTS	BCBS MA
2	724452	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	E03264	MEDICARE UPIN
4	M07471	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
5	2022745	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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