DR. JEFFREY SCOTT BOLGER (NPI# 1154566560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154566560 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY SCOTT BOLGER |
| Credential | D.O. |
| Practice Address |
5800 Ridge Ave Philadelphia PA 19128-1737 |
| Mailing Address |
100 Eagleville Rd Eagleville PA 19403-1829 |
| Practice Telephone | 2154839900 |
| Practice Fax Number | 2154874221 |
| Mailing Telephone | 6105396000 |
| Mailing Fax Number | 6105390785 |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OS014902 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1024403780001 | 05 |
| Street Address |
5800 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959941 | Freda Lozanoff | Emergency Medicine | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2005-08-15 |
| 1841818507 | Margi Gami | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-07-09 |
| 1447885132 | Ayeesha Adolphus | Nurse Practitioner | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-03-03 |
| 1255986055 | Gagandeep Sandhu | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-08-08 |
| 1316509177 | Suraj Hansalia | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-07-02 |
| 1770145856 | Ashmi Shah | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-06-28 |
| 1538636550 | Julie A Laureni | Physician Assistant | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-10-29 |
| 1649766809 | Sang Hyub Kim | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-07-10 |
| 1790276640 | James Robert Brandt | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-05-27 |
| 1194236273 | Brian Jones Jr. | Physician Assistant | 5800 Ridge Ave, Suite 234, Philadelphia, PA 19128 | 2017-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499148 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 | 2019-10-25 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1073033874 | Sarah Miller | Psychiatry & Neurology | 100 E Lehigh Ave Ste 305b, Philadelphia, PA 19125-1012 | 2017-06-22 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1104354778 | Julian Camilo Artunduaga | Psychiatry & Neurology | 100 E Lehigh Ave Bldg Suit105, Philadelphia, PA 19125-1012 | 2017-05-26 |
| 1538691340 | Lea Fowler Hecht | Psychiatry & Neurology | 3207 Baring St, Apt. 2, Philadelphia, PA 19104-2510 | 2017-03-30 |
| 1962941021 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 808 S Swanson St, Philadelphia, PA 19147-4330 | 2017-02-21 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1649620089 | Matthew Parker | Psychiatry & Neurology | 2040 Market St Apt 1121, Philadelphia, PA 19103-3369 | 2016-06-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
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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.