DAVID HENRY BOLONKIN (NPI# 1184640088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184640088 |
| Entity Type | Individual |
| Full Name | DAVID HENRY BOLONKIN |
| Credential | DPM |
| Practice Address |
2818 Grant Line Rd New Albany IN 47150-2492 |
| Mailing Address |
734 W Main St Ste 100 Louisville KY 40202-3687 |
| Practice Telephone | 8127257542 |
| Practice Fax Number | 8127257543 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2017-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07000563 | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000942326 | 01 |
| IN | 100075780 | 05 |
| Street Address |
2818 GRANT LINE RD |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-2492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942734181 | Derrick A Roland | Podiatrist | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2017-04-14 |
| 1255873865 | Carmen Rickman | Social Worker | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2016-11-14 |
| 1982052411 | Carolina Maria Perez | Podiatrist | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2016-05-25 |
| 1144674045 | Kaihua Wang | Podiatrist | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2016-04-17 |
| 1992167902 | Andrew Baker | Podiatrist | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2016-03-28 |
| 1497042808 | Dr Syed A Khader Pllc | Durable Medical Equipment & Medical Supplies | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2011-07-06 |
| 1154652253 | Family and Children's Place | Community/Behavioral Health | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2010-01-29 |
| 1699906818 | Nicholas Patrick Ferro | Podiatrist | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2009-08-05 |
| 1114177979 | Dr Syed A Khader Pllc | Internal Medicine | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2008-09-29 |
| 1235326299 | Amanda L Sneed | Social Worker | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831240795 | Ralph J Napolitano | Podiatrist | 5040 Forest Dr Ste 300, New Albany, OH 43054-8166 | 2007-01-16 |
| 1871860106 | Ladha Psc | Podiatrist | 3605 Northgate Ct, Suite 206, New Albany, IN 47150-6400 | 2011-12-01 |
| 1699906818 | Nicholas Patrick Ferro | Podiatrist | 2818 Grant Line Rd, New Albany, IN 47150-2492 | 2009-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1770040081 | Apex Podiatry, Inc. | Podiatrist | 1720 Lafayette Rd Ste 3, Crawfordsville, IN 47933-4604 | 2019-02-22 |
| 1982176913 | A-warnock LLC | Podiatrist | 1103 Central Park Blvd N, Greenwood, IN 46143-7312 | 2019-01-02 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1629592191 | Christie Foot & Ankle, LLC | Podiatrist | 3031 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2017-07-27 |
| 1154842896 | Major Multispecialty Associates | Podiatrist | 30 W Rampart St Ste 180, Shelbyville, IN 46176-8845 | 2017-07-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1538693536 | Nicholas Nicholas Lalios | Podiatrist | 7800 Madison St, Merrillville, IN 46410-4615 | 2017-04-17 |
| 1558713354 | Allegiant Podiatry, Inc. | Podiatrist | 515 Silhavy Rd, Apt # 2, Valparaiso, IN 46383-4452 | 2016-07-06 |
| 1275984643 | Jordan Gardner | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
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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.