JONELL HAMILTON BOLTON (NPI# 1144529959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144529959 |
| Entity Type | Individual |
| Full Name | JONELL HAMILTON BOLTON |
| Practice Address |
5000 O'donovan Blvd Suite 404 Walker LA 70785-6351 |
| Practice Telephone | 2252716550 |
| Practice Fax Number | 2252716551 |
| Mailing Telephone | 2252716550 |
| Mailing Fax Number | 2252716551 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 207163 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2149890 | 05 |
| Street Address |
5000 O'DONOVAN BLVD SUITE 404 |
| City | WALKER |
| State | LA |
| Zip Code | 70785-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255824249 | Ryan Watson | Physician Assistant | 5000 O'donovan Blvd, Walker, LA 70785-6352 | 2018-06-13 |
| 1841544194 | Fmol Health Systems | Pharmacy | 5000 O'donovan Blvd, Ste 104, Walker, LA 70785-6344 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538680228 | Megan Price Berthelot | Pharmacist | 29881 Walker South Rd., Walker, LA 70785 | 2017-07-03 |
| 1275994956 | Shelby Reeder | Counselor | 31947 Little Flock Circle, Walker, LA 70785 | 2016-03-09 |
| 1326440561 | Ashley Dominique Williams | Pharmacist | 29881 Walker Rd, Walker, LA 70785 | 2014-09-18 |
| 1881094803 | Dennis Cutrer | Pharmacist | 28720 Walker South Rd, Walker, LA 70785 | 2014-08-27 |
| 1497011548 | April Taylor Sanchez | Dermatology | 29799 Walker Rd S, Walker, LA 70785 | 2012-04-03 |
| 1457622219 | Village Pharmacy | Pharmacy | 29811 Walker South Rd., Walker, LA 70785 | 2012-01-25 |
| 1760765572 | Donny Luke Bourgeois | Pharmacist | 29881 Walker South Road, Walker, LA 70785 | 2011-09-28 |
| 1689962821 | Village Pharmacy 2 | Home Health | 29811 Walker South Rd, Walker, LA 70785 | 2011-07-20 |
| 1316237928 | Village Pharmacy At Walker | Pharmacy | 29811 Walker South Road, Walker, LA 70785 | 2011-04-15 |
| 1174783344 | Laura Lynne Drake | Pediatrics | 9775 Highway 190, Suite F, Walker, LA 70785 | 2008-06-11 |
| Find all providers in zip 70785 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174783344 | Laura Lynne Drake | Pediatrics | 9775 Highway 190, Suite F, Walker, LA 70785 | 2008-06-11 |
| 1922298918 | Jennifer Marie Perry | Pediatrics | 4288 3 Mile Rd Nw, Suite 1, Walker, MI 49534-7596 | 2007-07-26 |
| 1639202112 | Tracy Alana Lemelle | Pediatrics | 5000 Odonavan Blvd, Walker, LA 70785-6351 | 2007-03-13 |
| 1558461756 | Sandra Staublin | Pediatrics | 4288 3 Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1700986999 | Belinda Chou | Pediatrics | 4288 Three Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1821385683 | Derrick Holeman | Pediatrics | 4288 3 Mile Rd Nw, Walker, MI 49534-7596 | 2011-06-30 |
| 1982799805 | Jeffrey Hoogstra | Pediatrics | 4288 3 Mile Road, Walker, MI 49534 | 2006-10-04 |
| 1295836096 | Abc Pediatrics, PC | Pediatrics | 4288 Three Mile Road, Walker, MI 49534 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182968 | Can Do Kids Pediatric Therapy Services | Pediatrics | 613 Simpson St, Benton, LA 71006-8314 | 2020-07-23 |
| 1205454774 | Jackson Street Pediatrics, LLC | Pediatrics | 5716 Jackson St, Alexandria, LA 71303-2042 | 2020-07-10 |
| 1689290603 | Impact Physician Group, Pediatrics LLC | Pediatrics | 2720 Rue De Jardin Ste 100, Lake Charles, LA 70605-4050 | 2020-06-25 |
| 1609334390 | Southside Pediatrics. A.p.m.c. | Pediatrics | 811 Albertson Pkwy Ste A, Broussard, LA 70518-5256 | 2019-03-12 |
| 1336632728 | Megan Michel Rabalais | Pediatrics | 7777 Hennessy Blvd # 6004, Baton Rouge, LA 70808-4300 | 2018-06-11 |
| 1902393648 | Morehouse Community Medical Centers, Inc | Pediatrics | 1825 N 18th St Ste A&b, Monroe, LA 71201-4420 | 2018-04-18 |
| 1508380197 | Hospital Service District 1 of East Baton Rouge Parish | Pediatrics | 6110 Main St Ste B, Zachary, LA 70791-4079 | 2017-07-26 |
| 1457873572 | All Hours Pediatrics | Pediatrics | 2645 Oneal Ln Bldg C-a, Baton Rouge, LA 70816-3179 | 2017-07-11 |
| 1881122778 | Uchechukwu Ray Eke | Pediatrics | 7777 Hennessy Blvd Ste 6004, Baton Rouge, LA 70808-4300 | 2017-05-23 |
| 1679007298 | Melissa Holland | Pediatrics | 8415 Goodwood Blvd Ste 100, Baton Rouge, LA 70806-7851 | 2017-04-20 |
| 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.