DR. SHAE LYNN BOLANDER (NPI# 1093982183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093982183 |
| Entity Type | Individual |
| Full Name | DR. SHAE LYNN BOLANDER |
| Other Name | DR. NEVIN SHAE BOLANDER |
| Credential | MD |
| Practice Address |
33-57 Harrison St Johnson City NY 13790-2107 |
| Mailing Address |
33 Lewis Rd 2nd Fl Binghamton NY 13905 |
| Practice Telephone | 6077636412 |
| Practice Fax Number | 6077635854 |
| Mailing Telephone | 6077298156 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 299837 | NY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 55697-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
33-57 HARRISON ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477832 | Rajesh Jayantkrishna Dave | Specialist | 33-57 Harrison St, Johnson City, NY 13790-2143 | 2005-06-15 |
| 1447851944 | Sagarkumar Patel | Nurse Practitioner | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2020-11-03 |
| 1083214332 | Justin Michael Eisenhauer | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2020-10-27 |
| 1124665849 | Jason D Oziemina | Physical Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-12-02 |
| 1104462472 | Cathy J Forde | Occupational Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-21 |
| 1740826361 | Marie Beth Abell | Physical Medicine & Rehabilitation | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-19 |
| 1841835675 | Jessica Lynn Mclaughlin | Occupational Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-15 |
| 1346885399 | Brianna Bruster | Speech-Language Pathologist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-14 |
| 1689219735 | Jinfang Li | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-13 |
| 1437794781 | John Yacano | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083808885 | Tracy Martin Reece | Emergency Medicine | 611 Toll Branch Rd, Johnson City, TN 37601-5283 | 2007-09-05 |
| 1770518508 | Jamie Len Blackwell | Emergency Medicine | 409 E Chilhowie Ave, Johnson City, TN 37601-4007 | 2006-07-11 |
| 1669410304 | Emergency Care Physicians, Inc. | Emergency Medicine | 401 Princeton Rd, Johnson City, TN 37601-2028 | 2006-06-03 |
| 1942247713 | Jason Kendall Walls | Emergency Medicine | 310 North State and Franklin Road, Ste 103, Johnson City, TN 37604-6063 | 2006-06-01 |
| 1528037660 | Erin E Bryant | Emergency Medicine | 301 Med Tech Pkwy Ste 140, Johnson City, TN 37604-2364 | 2006-03-14 |
| 1487649273 | Richard Eugene Neubert | Emergency Medicine | 378 Marketplace Dr, Suite 5, Johnson City, TN 37604-2361 | 2005-09-17 |
| 1558353946 | Sabah S Toma | Emergency Medicine | 33 - 57 Harrison Street, Johnson City, NY 13790 | 2005-08-22 |
| 1538163506 | Daniel Wayne Ross | Emergency Medicine | 1408 Lake Ridge Sq, Johnson City, TN 37601-7407 | 2005-06-08 |
| 1366890279 | William Albert Galvin | Emergency Medicine | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2016-06-01 |
| 1942656210 | Vincent Skovira | Emergency Medicine | 507 Main St, Johnson City, NY 13790-1810 | 2016-05-05 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.