Provider Demographics
NPI:1265657498
Name:HOLMES, DENISE OPHELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:OPHELIA
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 WHISPERING PINES DRIVE
Mailing Address - Street 2:
Mailing Address - City:NOVELTY
Mailing Address - State:OH
Mailing Address - Zip Code:44072
Mailing Address - Country:US
Mailing Address - Phone:440-338-5827
Mailing Address - Fax:440-338-6703
Practice Address - Street 1:8220 WHISPERING PINES DR
Practice Address - Street 2:
Practice Address - City:NOVELTY
Practice Address - State:OH
Practice Address - Zip Code:44072-9535
Practice Address - Country:US
Practice Address - Phone:440-338-5827
Practice Address - Fax:440-338-6703
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.056655207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery