MICHAEL J BOLAND (NPI# 1104867936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104867936 |
| Entity Type | Individual |
| Full Name | MICHAEL J BOLAND |
| Credential | MD |
| Practice Address |
255 Baptist Blvd Suite 402 Columbus MS 39705 |
| Mailing Address |
Po Box 405827 Atlanta GA 30384-5827 |
| Practice Telephone | 6622401412 |
| Practice Fax Number | 6622401949 |
| Mailing Telephone | 9012274068 |
| Mailing Fax Number | 9012274051 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
06387 | MS | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
00027291 | AL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
056686 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
6387 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009601740 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 730-01754 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 730-05844 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 730-05954 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 730-73298 | 01 |
| MS | 0115039 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891101861 | Michael Boland | Counselor | 4220 N Grand Blvd, Saint Louis, MO 63107-1831 | 2014-07-10 |
| 1962414078 | Michael R Boland | Optometrist | 503 S State St, Clarks Summit, PA 18411 | 2006-08-13 |
| 1689770273 | Michael Robert Boland | Orthopaedic Surgery | 740 S Limestone, Lexington, KY 40536-0001 | 2006-09-15 |
| 1023074143 | Michael V Boland | Ophthalmology | 800 Huntington Ave, Boston, MA 02115-6303 | 2006-04-26 |
| 1548224249 | Michael F Boland | Neurological Surgery | 232 S Woods Mill Rd, Suite 400 East, Chesterfield, MO 63017-3417 | 2006-04-12 |
| Street Address |
255 BAPTIST BLVD SUITE 402 |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087257 | Joon K Chang | Internal Medicine | 255 Baptist Blvd, Ste. 401, Columbus, MS 39705-2011 | 2005-07-18 |
| 1932551520 | Tiffany Warren | Nurse Practitioner | 255 Baptist Blvd, Columbus, MS 39705-2011 | 2016-07-06 |
| 1285068270 | Kelli Deanne King | Nurse Practitioner | 255 Baptist Blvd, Ste 401, Columbus, MS 39705-2011 | 2013-08-26 |
| 1124374673 | Margaret T Allgood | Nurse Practitioner | 255 Baptist Blvd, Suite 402, Columbus, MS 39705 | 2012-08-01 |
| 1629209952 | Michael A Berry | Surgery | 255 Baptist Blvd, Suite 307, Columbus, MS 39705-2011 | 2009-08-04 |
| 1851554539 | Baptist Memorial Health Services Inc of Mississippi | Internal Medicine | 255 Baptist Blvd, Suite 301, Columbus, MS 39705-2011 | 2008-07-03 |
| 1821268467 | Columbus Pulmonary Clinic | Internal Medicine | 255 Baptist Blvd, Ste 302, Columbus, MS 39705-2011 | 2008-03-11 |
| 1275719114 | Jerry L. Stennet, M.d. Pa D/b/a Columbus Surgery | Surgery | 255 Baptist Blvd, Suite 307, Columbus, MS 39705-2011 | 2008-01-10 |
| 1780702217 | J. Barton Williams M.d., P.a. | Specialist | 255 Baptist Blvd, Suite 305, Columbus, MS 39705-2011 | 2007-03-26 |
| 1871646323 | Lance E Busch | Internal Medicine | 255 Baptist Blvd, Suite 302, Columbus, MS 39705 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1912569781 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Ste 1b, Columbus, OH 43206-2398 | 2019-07-02 |
| 1316504723 | Olivia Kay Preston | Internal Medicine | 543 Taylor Ave Ste 3002, Columbus, OH 43203-1278 | 2019-05-21 |
| 1932669181 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Unit B Ste 1, Columbus, OH 43206-2398 | 2019-03-23 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1730445735 | James Michael Monaco | Internal Medicine | 473 W 12th Avenue, Columbus, OH 43210 | 2012-04-04 |
| 1740576644 | Michael Wesley Milks | Internal Medicine | 473 W 12th Ave Ste 200, Columbus, OH 43210-1252 | 2011-06-20 |
| 1477783868 | Stephen Miles Berger | Internal Medicine | 7759 Seminary Rdg, Columbus, OH 43235-4603 | 2009-07-20 |
| 1528204138 | R Keith Pattison Do Inc | Internal Medicine | 750 Mt Carmel Mall, Ste 350, Columbus, OH 43222-1553 | 2009-01-02 |
| 1972727568 | Yun You Li | Internal Medicine | 5131 Beacon Hill Rd Ste 120, Columbus, OH 43228-4442 | 2007-04-13 |
| 1609090760 | Capitol City Cardiology, Inc. | Internal Medicine | 300 E. Town St, 4th Floor, Columbus, OH 43215-4748 | 2007-04-12 |
| Find all providers in COLUMBUS | ||||
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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.