LYNN A BOLENBAUGH (NPI# 1013131721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013131721 |
| Entity Type | Individual |
| Full Name | LYNN A BOLENBAUGH |
| Credential | PA-C |
| Practice Address |
578 N Leavitt Rd Amherst OH 44001-1131 |
| Mailing Address |
Po Box 636643 Cincinnati OH 45263-6643 |
| Practice Telephone | 4409893801 |
| Practice Fax Number | 4409600264 |
| Mailing Telephone | 4409893801 |
| Mailing Fax Number | 4409600264 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50001726 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3025372 | 05 |
| Street Address |
578 N LEAVITT RD |
| City | AMHERST |
| State | OH |
| Zip Code | 44001-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023095726 | James K Matheson | Obstetrics & Gynecology | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2005-12-23 |
| 1467916536 | Joanna Lynn Ornelas | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2019-01-23 |
| 1689149189 | Heather Ann Bruderer | Advanced Practice Midwife | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2018-10-10 |
| 1184107336 | Luke D Nath | Physician Assistant | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2018-09-13 |
| 1710410444 | Christopher Scott Smith | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-04-10 |
| 1255872974 | Kathryne Volpe-bates | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-03-14 |
| 1992107338 | Stephanie Reynolds | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2014-09-17 |
| 1508275520 | Joy Johnson | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2014-08-04 |
| 1609113133 | Lisa Marie Dials | Clinical Nurse Specialist | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2013-01-03 |
| 1881831311 | Kathleen Marie Malear | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2009-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161337 | Amanda J. Orosz | Homemaker | 420 S. Main St, Amherst, OH 44001 | 2020-10-14 |
| 1760089460 | Michelle Dawn Miller | Homemaker | 9932 Quarry Rd., Amherst, OH 44001 | 2020-10-06 |
| 1245707942 | Kaylie Marie Stamco | Physician Assistant | 609 Eastpointe Ct, Amherst, OH 44001 | 2018-10-31 |
| 1538684758 | Randi Lynn Cecil | Nurse's Aide | 1521 Weaver Dr., Amherst, OH 44001 | 2017-08-09 |
| 1801252663 | Briana Violand | Lactation Consultant, Non-RN | 780 N Woodhill Dr, Amherst, OH 44001 | 2016-01-10 |
| 1225396823 | Christina Ann Zarate Kolp | Family Medicine | 254 Cleveland St, Suite 101, Amherst, OH 44001 | 2012-05-02 |
| 1841590494 | Brenda Kay Keller | Social Worker | 48395 Cooper Foster Park Road, Amherst, OH 44001 | 2010-10-29 |
| 1417289083 | Assisted Living Services. Inc | Assisted Living Facility | 175 North Lake Street, Amherst, OH 44001 | 2010-02-08 |
| 1366697963 | Spectrum of Psychiatric and Psychological Services | Clinic/Center | 556 N. Leavitt Rd., Amherst, OH 44001 | 2008-11-24 |
| 1336397199 | Michael A Musengo | Dentist | 221 Church St., Amherst, OH 44001 | 2008-09-05 |
| Find all providers in zip 44001 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926808 | Tiffany Teresa Kalisz | Physician Assistant | 78 Lawnwood Dr, Amherst, NY 14228-1603 | 2020-09-09 |
| 1528611852 | India Younger | Physician Assistant | 4498 Main St Ste 23, Amherst, NY 14226-3826 | 2019-07-16 |
| 1104355973 | Kelly Kaczor | Physician Assistant | 4955 N Bailey Ave Ste 202, Amherst, NY 14226-1206 | 2017-06-06 |
| 1013337807 | Sara Fritsch | Physician Assistant | 3915 Sheridan Dr, Amherst, NY 14226 | 2014-04-21 |
| 1770686859 | Michael N. Brown | Physician Assistant | 29 Cottage St Ste B, Amherst, MA 01002-2178 | 2006-09-06 |
| 1801895271 | Linda S Tosetto | Physician Assistant | 3980 Sheridan Dr, 6th Floor, Amherst, NY 14226-1727 | 2005-07-19 |
| 1407852973 | Allyson Laetita Kirk | Physician Assistant | 500 Corporate Pkwy, Suite 100, Amherst, NY 14226-1263 | 2005-06-21 |
| 1447875869 | Jenna Marie Toy | Physician Assistant | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2020-06-11 |
| 1700409893 | Casey Anne Mckittrick | Physician Assistant | 170 University Dr, Amherst, MA 01002-2247 | 2020-05-22 |
| 1467093658 | Matthew Krempholtz | Physician Assistant | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2019-09-30 |
| Find all providers in AMHERST | ||||
Please comment or provide details below to improve the information on LYNN A BOLENBAUGH.
| 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.