MR. TIMOTHY J BOLEN (NPI# 1104191899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104191899 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY J BOLEN |
| Other Name | MR. TIM BOLEN |
| Credential | PT |
| Practice Address |
2311 S Kansas Rd Newton KS 67114-9032 |
| Practice Telephone | 3162837187 |
| Practice Fax Number | 3162837189 |
| Mailing Telephone | 3162837187 |
| Mailing Fax Number | 3162837189 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11-01593 | KS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649770025 | Timothy Irvin Bolen | Counselor | 141 Highway 142, Covington, GA 30014-4857 | 2018-02-13 |
| Street Address |
2311 S KANSAS RD |
| City | NEWTON |
| State | KS |
| Zip Code | 67114-9032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487629887 | Annette Stucky | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2006-02-20 |
| 1457963381 | Paula Goddard | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2020-08-21 |
| 1770142010 | Addison Owen Nichols | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2019-06-11 |
| 1891354213 | Jake Adam Carey | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2019-06-10 |
| 1154809168 | Eugene Housdon | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2018-08-01 |
| 1043713928 | Jason Sutcliffe | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2018-03-16 |
| 1821591033 | Maureen Meyer | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2018-03-14 |
| 1780101840 | Janna R Crandall | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2017-08-29 |
| 1497104855 | Jacob Duane Snodgrass | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2016-06-07 |
| 1447627153 | Advancedpt of Newton | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2015-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301854 | Kelly Pruitt | Physical Therapist | 111 Summer Drive, Newton, KS 67114 | 2016-04-22 |
| 1538505417 | Fair Chiropractic LLC | Chiropractor | 2305 S. Kansas Ave., Suite 104, Newton, KS 67114 | 2013-05-17 |
| 1922383884 | Anne M Geidel | Pharmacist | 1300 N. Main, Newton, KS 67114 | 2011-10-11 |
| 1831474790 | Mark Thomas Attebery | Pharmacist | 1300 N. Main St., Newton, KS 67114 | 2011-10-11 |
| 1417254228 | Katie Conner Reese | Social Worker | 209 S. Pine Street, Newton, KS 67114 | 2011-02-15 |
| 1306076328 | Tammy Bush | Physical Therapist | 800 Meadowlark Ln, Newton, KS 67114 | 2009-07-24 |
| 1790962223 | Eric Brian Fair | Chiropractor | 2305 S. Kansas Ave, Suite 104, Newton, KS 67114 | 2008-01-28 |
| 1144434960 | Keri Annette Mick | Speech-Language Pathologist | Newton Presbyterian Manor, 7th Street, Newton, KS 67114 | 2007-05-10 |
| 1659425841 | Michele I Janssens | Speech-Language Pathologist | 115 Harrison St, Newton, KS 67114 | 2007-01-23 |
| 1912063751 | Edward A Myers | Chiropractor | 1609 E 9th St, Newton, KS 67114 | 2006-12-28 |
| Find all providers in zip 67114 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386099638 | Lauren Zeitler | Specialist | 61 Wendell Rd, Newton, MA 02459-2650 | 2016-04-24 |
| 1790141836 | Jennifer Labonte | Specialist | 154 Langley Rd, Newton, MA 02459-2056 | 2016-01-05 |
| 1740443712 | Thomas E Jessen Md PC | Specialist | 300 N 4th Ave E Ste 140a, Newton, IA 50208-3122 | 2008-07-09 |
| 1659586659 | Dorothy L. Norcross | Specialist | 25 Fisher Ave, Newton, MA 02461-1142 | 2007-05-11 |
| 1710909932 | Karin A O'brien | Specialist | 10 Langley Rd Suite 300, Newton, MA 02459-1972 | 2006-07-24 |
| 1134189889 | Pediatric House Call PC | Specialist | 56 Winchester St Ste 5, Newton, MA 02461-1730 | 2006-03-26 |
| 1548236722 | Leonard Charles Marcus | Specialist | 1555 Commonwealth Ave, Newton, MA 02465-2800 | 2006-02-27 |
| 1699751917 | Louis O Pupo | Specialist | 61 Newton Sparta Road, Newton, NJ 07860 | 2005-12-19 |
| 1326029166 | Jeffrey Brian Mendel | Specialist | 180 Otis Street, Newton, MA 02465-2524 | 2005-11-09 |
| 1114915543 | Geeta Sehgal | Specialist | 179 High St, Newton, NJ 07860-1010 | 2005-10-10 |
| Find all providers in NEWTON | ||||
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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.