KATIE LYNN BOLDUC (NPI# 1043607054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043607054 |
| Entity Type | Individual |
| Full Name | KATIE LYNN BOLDUC |
| Credential | PA-C |
| Practice Address |
2101 Chapline St Wheeling WV 26003-3875 |
| Practice Telephone | 3042333240 |
| Practice Fax Number | 3042326128 |
| Mailing Telephone | 3042333240 |
| Mailing Fax Number | 3042326128 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 01855 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2101 CHAPLINE ST |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992790158 | Alan M. Ruben | Dermatology | 2101 Chapline St, Wheeling, WV 26003-3875 | 2005-09-14 |
| 1568013852 | Derek M Miller | Physician Assistant | 2101 Chapline St, Wheeling, WV 26003-3875 | 2019-09-27 |
| 1447617337 | Lindy M Knight | Physician Assistant | 2101 Chapline St, Wheeling, WV 26003-3875 | 2016-01-22 |
| 1861869638 | Alecia Hathaway | Nurse Practitioner | 2101 Chapline St, Wheeling, WV 26003-3875 | 2015-08-28 |
| 1750797866 | Amanda Weishar | Physician Assistant | 2101 Chapline St, Wheeling, WV 26003-3875 | 2014-07-09 |
| 1548692197 | Ganzer - Hahn Dermatology Associates, Pllc | Dermatology | 2101 Chapline St, Wheeling, WV 26003-3875 | 2013-08-06 |
| 1689926180 | Sarah Beth Truex | Nurse Practitioner | 2101 Chapline St, Wheeling, WV 26003-3875 | 2012-10-08 |
| 1326163890 | Gregory Ganzer | Dermatology | 2101 Chapline St, Wheeling, WV 26003-3855 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| 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 |
|---|---|---|---|---|
| 1437796364 | Emily Puskarich | Physician Assistant | 6 Lynwood Ave, Wheeling, WV 26003-5949 | 2019-12-10 |
| 1538705165 | Alex Franke | Physician Assistant | 101 Westgate Dr, Wheeling, WV 26003-4957 | 2019-11-19 |
| 1265076756 | Brittany Paige Halpern | Physician Assistant | 32 20th St, Wheeling, WV 26003-3746 | 2019-10-29 |
| 1003046780 | Chelsea W Hewitt | Physician Assistant | 76 16th Street, Wheeling, WV 26003 | 2009-07-16 |
| 1346334893 | Beth L Bittinger | Physician Assistant | 2201 Chapline St, Wheeling, WV 26003-3842 | 2006-10-02 |
| 1871599076 | Heather M Shields | Physician Assistant | 24 Homestead Ave, Wheeling, WV 26003-6638 | 2005-06-22 |
| 1356940548 | Kaley Anne Kuzma | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2020-10-20 |
| 1912548553 | Sierra Nicole Moore | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2019-10-04 |
| 1861048035 | Jordan Rachelle Robinson | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6300 | 2019-08-14 |
| 1932752151 | Ashley Danielle Haught | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2019-07-17 |
| Find all providers in WHEELING | ||||
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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.