MS. RYAN ELAINE BOLTON


Address: 75 Eastern Point Rd, Station A78, Groton, CT 06340-4905
Phone: 8604335193

MS. RYAN ELAINE BOLTON (NPI# 1063700078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063700078
Entity Type Individual
Full Name MS. RYAN ELAINE BOLTON
Other Name MS. ELAINE BOLTON
Credential PA-C
Practice Address 75 Eastern Point Rd
Station A78
Groton
CT 06340-4905
Practice Telephone 8604335193
Mailing Telephone 8604335193
Enumeration Date 2011-07-12
Last Update Date 2011-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2528 CT Physician Assistants & Advanced Practice Nursing Providers

Other Providers RYAN BOLTON

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1598260200 Ryan Bolton Surgery 1400 Pelham Pkwy S, Bronx, NY 10461-1197 2018-03-26
1295982916 Ryan J Bolton Internal Medicine 1801 W Taylor St, 3aa, Chicago, IL 60612-4795 2008-08-25

Office Location

Street Address 75 EASTERN POINT RD
STATION A78
City GROTON
State CT
Zip Code 06340-4905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013941871 Robert P Hurley Preventive Medicine 75 Eastern Point Rd, Department 644, Station A97-1, Groton, CT 06340-4905 2006-07-10
1720494966 Nicole Roy Nurse Practitioner 75 Eastern Point Rd, Groton, CT 06340-4905 2014-07-09
1932515459 Allison Dussault Nurse Practitioner 75 Eastern Point Rd, Groton, CT 06340-4905 2014-07-03
1134468143 General Dynamics Clinic/Center 75 Eastern Point Rd, Groton, CT 06340-4905 2013-02-11
1245551639 Alicia M Noonan Registered Nurse 75 Eastern Point Rd, Dept 644 Bldg 78a, Groton, CT 06340-4905 2010-06-20
1134302334 Peter Arnold Davis Physician Assistant 75 Eastern Point Rd, Bldg 97, Yard Hospital, Groton, CT 06340-4905 2007-12-11
1568525921 Kathleen M Balantic Nurse Practitioner 75 Eastern Point Rd, Groton, CT 06340-4905 2006-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912558610 Bruce Lancel Bernardo Lara Military Health Care Provider Fpo, Ae, 09587-2417, Groton, AE 06340 2019-09-24
1295393692 Ermelinda Elaine Alviso Military Health Care Provider Trout Ave, Groton, CT 06340 2019-05-31
1679034011 Derek James Hale Military Health Care Provider Fc 83 Numi, Trout Ave, Groton, CT 06340 2019-03-28
1063973790 Cody Eugene Shaw Military Health Care Provider Numi, Trout Ave Building 83, Groton, CT 06340 2019-03-26
1265906911 Homelife Companions and Homemakers, LLC Adult Companion 1 Fort Hill Road, Suite 3, Groton, CT 06340 2019-01-16
1144735457 Kristina Marie Carta Behavior Technician 220 Rt 12, Suite 205, Groton, CT 06340 2017-12-08
1538674262 Tercel Dental Pllc Dentist 643 Gold Star Hwy., Groton, CT 06340 2017-12-04
1306361662 Stonington Behavioral Health Inc Psychologist 618 Poquonnock Rd, Groton, CT 06340 2017-08-08
1104347806 Renae Reynolds Optometrist 489 Gold Star Hwy Ste 100, Groton, CT 06340 2017-07-03
1053831552 Susan A Bradbury Physical Therapist 455 Eastern Point Rd, Groton, CT 06340 2017-06-26
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528432416 Michael Tansey Physician Assistant 22 Partridge Rd, 22 Partridge Rd, Groton, CT 06340-4323 2015-11-16
1124122650 Aimee J Criscuolo Beck Physician Assistant 481 Gold Star Hwy Ste 100, Groton, CT 06340-6702 2006-09-13
1437253655 David J Mccormick Physician Assistant 220 Route 12, Groton, CT 06340-3414 2006-09-08
1659713683 Katelyn Doran Jupin Physician Assistant 220 Route 12, Groton, CT 06340-3414 2013-07-18
1396186631 Zachary J. Jupin Physician Assistant 220 Route 12, Groton, CT 06340-3414 2013-07-16
1578693917 Ahmad M. Mehdi M.d P.c Physician Assistant 100 Sykes St, Groton, NY 13073-1231 2007-03-06
1801840095 Mark Duston Schulthess Physician Assistant Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 2006-05-20
1770545360 David B Berlin Physician Assistant 1 Wahoo Ave, Groton, CT 06349-2324 2006-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578163671 Kirsten Alexandra Drobiak Physician Assistant 37 Jennifer Ln, Griswold, CT 06351-3500 2020-10-28
1255955019 Amanda Uscilla Physician Assistant 20 Hilltop Rd, Bethany, CT 06524-3514 2020-06-07
1689208571 Sage Ann Miele Physician Assistant 149 Water St Apt 32, Norwalk, CT 06854-3758 2020-02-28
1790319655 Erin Kelly Flynn Physician Assistant 464 Congress Ave # Suie260, New Haven, CT 06519-1361 2020-02-28
1659919702 Jeniece Kayla Wert Physician Assistant 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 2019-12-18
1811547508 Gabriela M Vargas Physician Assistant 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 2019-09-16
1275192049 Molly J Mable Physician Assistant 282 Washington St Fl 1, Hartford, CT 06106-3322 2019-06-06
1003377631 Stephan Anton Bayer Physician Assistant 205 Elm St Apt 5, West Haven, CT 06516-4659 2019-03-27
1578024105 Vance P Baughman Physician Assistant 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 2019-03-27
1588121354 Jason Michael Nies Physician Assistant 20 York St # 218, New Haven, CT 06510-3220 2019-02-27
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Competitor

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City GROTON
Zip Code 06340

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Dataset Information

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.

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