PATRICK LYNN BOLER (NPI# 1225390719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225390719 |
| Entity Type | Individual |
| Full Name | PATRICK LYNN BOLER |
| Credential | M.D. |
| Practice Address |
815 Highway 80 E Clinton MS 39056-5252 |
| Practice Telephone | 6019103004 |
| Mailing Telephone | 6019103004 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 24316 | MS | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | PGY..202111 | LA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | LL34725 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
815 HIGHWAY 80 E |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144422577 | Optical 2000 | Optometrist | 815 Highway 80 E, Clinton, MS 39056-5252 | 2007-06-05 |
| 1407354277 | Hannah Long Price | Physician Assistant | 815 Highway 80 E, Clinton, MS 39056-5252 | 2018-01-26 |
| 1841645470 | Magnolia Dermatology, Pllc | Dermatology | 815 Highway 80 E, Clinton, MS 39056-5252 | 2016-05-02 |
| 1548692130 | Walter Pang | Optometrist | 815 Highway 80 E, Clinton, MS 39056-5252 | 2013-08-06 |
| 1144404898 | Christin Collier Hurt | Dermatology | 815 Highway 80 E, Clinton, MS 39056-5252 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457728883 | Integrated Dermatology of Clinton,llc | Dermatology | 8 E Main St Ste 101, Clinton, CT 06413-2058 | 2015-09-02 |
| 1265636708 | Iowa Dermatology Institute, P.C. | Dermatology | 2315 Roosevelt St, Clinton, IA 52732-2412 | 2007-06-11 |
| 1356441109 | Surinder K. Arora | Dermatology | 9113 Brandywine Rd, Suite 101, Clinton, MD 20735-2551 | 2006-09-22 |
| 1659390797 | Ellen A Markstein | Dermatology | 8 East Main Street, Suite 101, Clinton, CT 06413-2058 | 2006-07-19 |
| 1548234735 | John Peeler Surratt | Dermatology | 804 Coharie Dr, Clinton, NC 28328-3022 | 2006-02-14 |
| 1841645470 | Magnolia Dermatology, Pllc | Dermatology | 815 Highway 80 E, Clinton, MS 39056-5252 | 2016-05-02 |
| 1144404898 | Christin Collier Hurt | Dermatology | 815 Highway 80 E, Clinton, MS 39056-5252 | 2007-12-18 |
| 1568656999 | Robert G German Md PC | Dermatology | 2315 Roosevelt St, Clinton, IA 52732-2412 | 2007-08-29 |
| 1417018375 | David A. Spott, M.d., P.a. | Dermatology | 9131 Piscataway Rd, Suite 550, Clinton, MD 20735-2508 | 2006-12-13 |
| 1467466284 | Sharon Henrietta Barrett | Dermatology | 8 East Main Street, Suite 101, Clinton, CT 06413-2058 | 2006-07-28 |
| Find all providers in CLINTON | ||||
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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.