JASON BOLDEN (NPI# 1033157318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033157318 |
| Entity Type | Individual |
| Full Name | JASON BOLDEN |
| Credential | MD |
| Practice Address |
3101 Latrobe Dr Charlotte NC 28211-4849 |
| Practice Telephone | 7043767362 |
| Mailing Telephone | 7043767362 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | N0038B | 05 |
| Street Address |
3101 LATROBE DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891754297 | Kurian Chiramel Abraham | Specialist | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-03-23 |
| 1497222426 | Jessy George | Nurse Practitioner | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2018-10-29 |
| 1093081762 | New Hope Specialty Clinic | Internal Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2012-03-28 |
| 1427384189 | Mary Elizabeth Lowe | Physician Assistant | 3101 Latrobe Dr, Suite # 100, Charlotte, NC 28211-4849 | 2009-10-30 |
| 1457506909 | Todd Harold St. John | Nurse Practitioner | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2008-11-25 |
| 1962689729 | Tene Akua Osahar | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2008-01-23 |
| 1003007964 | Olga Maria Kramer | Physician Assistant | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2007-08-06 |
| 1215060835 | Michael W. Reynolds | Physician Assistant | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2007-03-13 |
| 1184795031 | Robert Driver | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-11-13 |
| 1780790188 | David Steven Lancaster II | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376980417 | Beatty Medical Consulting, PC | Emergency Medicine | 9507 Brandemere Ct, Charlotte, NC 28210-1027 | 2013-05-30 |
| 1417916271 | Richard Lequeux Bradner | Emergency Medicine | 9720 S Tryon St, Charlotte, NC 28273-6578 | 2006-03-21 |
| 1780035816 | Laura Icenhour Buchanan | Emergency Medicine | 10628 Park Rd, Charlotte, NC 28210-8407 | 2016-06-30 |
| 1801829379 | Ekachai Lucktong | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-07-08 |
| 1558397778 | Nadine Lettman-carswell | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-06-23 |
| 1972547834 | Julie O'sullivan | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-06-15 |
| 1477524460 | Steven Justus | Emergency Medicine | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2006-01-30 |
| 1760453070 | Ryan Hines | Emergency Medicine | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2006-01-27 |
| 1437139391 | Jennifer E Thompson | Emergency Medicine | 10628 Park Rd, Charlotte, NC 28210-8407 | 2006-01-18 |
| 1447239835 | Michael Frye | Emergency Medicine | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2006-01-13 |
| Find all providers in CHARLOTTE | ||||
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| 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.