MR. CHARLES ARTHUR BOLINGER (NPI# 1073789954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073789954 |
| Entity Type | Individual |
| Full Name | MR. CHARLES ARTHUR BOLINGER |
| Credential | CPED |
| Practice Address |
4546 Maplecrest Rd Ft Wayne IN 46835 |
| Practice Telephone | 2604921752 |
| Practice Fax Number | 2604921752 |
| Mailing Telephone | 2604921752 |
| Mailing Fax Number | 2604921752 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PFA | 46966 | 01 | |
| CPED | 1954 | 01 |
| Street Address |
4546 MAPLECREST RD |
| City | FT WAYNE |
| State | IN |
| Zip Code | 46835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
| 1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
| 1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
| 1497922090 | Michelle A Bailey | Registered Nurse | 6108 Maplecrest Road, Fort Wayne, IN 46835 | 2008-05-13 |
| 1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
| 1639272339 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6220 St Joseph Center Rd, Fort Wayne, IN 46835 | 2006-09-07 |
| 1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
| 1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
| 1881940617 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2827 Northgate Blvd, Fort Wayne, IN 46835 | 2012-07-30 |
| Find all providers in zip 46835 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510178 | Cardiosom LLC Dba Md Sleep of Ft. Wayne | Technician, Other | 1625 Magnavox Way, Ft Wayne, IN 46804-1535 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083103485 | Lice Clinics of America- Northwest Indiana | Technician, Other | 1010 Breuckman Dr, Crown Point, IN 46307-7530 | 2018-05-02 |
| 1053864058 | Regina Reevesscaife | Technician, Other | 1611 S Vernon St, South Bend, IN 46613-3214 | 2016-07-27 |
| 1699127001 | Jaime Lynn Harvey | Technician, Other | 1653 Park Hurst Dr, Indianapolis, IN 46229-4130 | 2016-07-08 |
| 1447601265 | Dominique Simmons | Technician, Other | 5638 E 18th St, Indianapolis, IN 46218-5017 | 2016-06-22 |
| 1124474333 | Esther Kather | Technician, Other | 1216 Brook Run Dr, 3a, Mishawaka, IN 46544-9285 | 2016-05-05 |
| 1215393780 | Kirt Anthony Shepard | Technician, Other | 1106 S 20th St, Apt 321 A, South Bend, IN 46615-1668 | 2016-01-13 |
| 1467818104 | Monica Fryska | Technician, Other | 15121 Clifden Dr, Granger, IN 46530-8205 | 2016-01-11 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1619364312 | Latoya Janae Swanson | Technician, Other | 52718 E Cypress Cir, South Bend, IN 46637-4607 | 2015-04-20 |
| 1528454766 | Angelika Colpitts | Technician, Other | 7202 E 350 N, Rolling Prairie, IN 46371-9438 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
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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.