MEDICARE: DR. ROBIN A HOLMES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	113124	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801201678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN A HOLMES MD

Provider Business Mailing Address
First Line	:	4047 BARTLETT ST
Second Line	:
City	:	HOMER
State	:	AK
Zip	:	99603-7566
Country	:	US
Telephone Number	:	907-235-3436
Fax Number	:	833-438-1910

Provider Business Practice Location Address
First Line	:	4047 BARTLETT ST
Second Line	:
City	:	HOMER
State	:	AK
Zip	:	99603-7566
Country	:	US
Telephone Number	:	907-206-2730
Fax Number	:	833-438-1910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2014
Last Update Date	:	05/29/2026

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