RODERICK WAYNE BOLLINGER (NPI# 1114446028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114446028 |
| Entity Type | Individual |
| Full Name | RODERICK WAYNE BOLLINGER |
| Credential | FNP-BC |
| Practice Address |
115 W Broadway Blvd Sedalia MO 65301-5708 |
| Practice Telephone | 6609511091 |
| Mailing Telephone | 6609511091 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017032883 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
115 W BROADWAY BLVD |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639459332 | Brandon Keith Fletcher | Physical Therapist | 115 W Broadway Blvd, Ste 300, Sedalia, MO 65301-5708 | 2011-08-25 |
| 1003342049 | Adam Cole Gerke | Physical Therapist | 115 W Broadway Blvd, Ste 300, Sedalia, MO 65301-5708 | 2017-05-11 |
| 1013469105 | Serc Rehabilitation Partners LLC | Clinic/Center | 115 W Broadway Blvd, Ste 300, Sedalia, MO 65301-5708 | 2016-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995466 | Maeghan Ashlee Johnson | Nurse Practitioner | 156 Autumn Ave, Sedalia, MO 65301-3608 | 2019-11-01 |
| 1487112728 | Diana Louise Hardesty | Nurse Practitioner | 2600 Clarendon Rd, Sedalia, MO 65301-6712 | 2019-03-06 |
| 1487708004 | Syble Jean Cretzmeyer | Nurse Practitioner | 3700 W 10th St Ste 100, Sedalia, MO 65301-2540 | 2007-01-22 |
| 1619593597 | Mckenzie Jo Kusgen | Nurse Practitioner | 3700 W 10th St Ste 200, Sedalia, MO 65301-2540 | 2020-06-17 |
| 1225660228 | Jennifer Gamber | Nurse Practitioner | 601 E 14th St, Sedalia, MO 65301-5972 | 2020-02-07 |
| 1124666284 | Dena Renee' Jenkins | Nurse Practitioner | 1715 S Lafayette Ave, Sedalia, MO 65301-7541 | 2019-12-19 |
| 1265912786 | Belinda S Harper | Nurse Practitioner | 2925 Clinton Rd, Sedalia, MO 65301-7915 | 2018-08-14 |
| 1356843296 | Audrianna Nicole Ruffel | Nurse Practitioner | 3700 W 10th St Ste 301, Sedalia, MO 65301 | 2018-03-07 |
| 1003213422 | Lisa Stanley | Nurse Practitioner | 821 Westwood Dr, Sedalia, MO 65301 | 2014-12-01 |
| 1740569706 | Deedee Gilmore | Nurse Practitioner | 821 Westwood Dr, Sedalia, MO 65301-2102 | 2011-08-09 |
| Find all providers in SEDALIA | ||||
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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.