Dr. Edna C Holmes is a Woodbridge, Virginia based female podiatrist who is specialized in Podiatric Sports Medicine. Active license number of Dr. Edna C Holmes for Podiatry is 0103000695 in Virginia. Dr. Edna C Holmes deals with prevention, diagnosis and treatment of lower extremity disorders in sports person. Main mission is to provide such knowledge (through professional education, public awareness) to the athletes and the public (who play sports) to enhance their enjoyment and safe participation in sports and fitness activities.
Complete Profile:
Dr. Edna C Holmes speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1003908898
NPI Enumeration Date:
29 Sep, 2006
NPI Last Update On:
20 Nov, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edna C Holmes are as mentioned below.
License Number
Specialization
State
Status
0103000695
Podiatry
Virginia
Primary
0103000695
Podiatric Sports Medicine
Virginia
Secondary
P0474
Podiatric Sports Medicine
District Of Columbia
Secondary
0103000695
Podiatric Foot Surgery
Virginia
Secondary
P0474
Podiatric Foot Surgery
District Of Columbia
Secondary
P0474
Podiatry
District Of Columbia
Secondary
0103000695
Podiatric medicine
Virginia
Secondary
P0474
Podiatric medicine
District Of Columbia
Secondary
0103000695
Primary Podiatric Medicine
Virginia
Secondary
P0474
Primary Podiatric Medicine
District Of Columbia
Secondary
0103000695
Podiatric Radiology
Virginia
Secondary
P0474
Podiatric Radiology
District Of Columbia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edna C Holmes such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9302409
Medicaid
Virginia
5407
Other
District Of Columbia
PODIATRY
026083
Other
Virginia
PODIATRY
00Y336HO1
Other
Virginia
INDIVIUAL PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1700 Rosedale Ct, Woodbridge, Virginia
Zip:
22191-3016
Phone Number:
--
Fax Number:
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Patients can reach Dr. Edna C Holmes at 1700 Rosedale Ct, Woodbridge, Virginia or can call to book an appointment on 703-494-3070. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Shaunn Dominique Malaka, DPM 18+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 14904 Jefferson Davis Hwy, Ste 105, VA Phone: 703-490-8171 Fax: 703-490-8172