DAVID L BOLAM (NPI# 1295792646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295792646 |
| Entity Type | Individual |
| Full Name | DAVID L BOLAM |
| Credential | MD |
| Practice Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025596750 |
| Practice Fax Number | 4025597341 |
| Mailing Telephone | 4025596750 |
| Mailing Fax Number | 4025597341 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2011-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
12182 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NE LICENSE | 12182 | 01 |
| Street Address |
988102 NEBRASKA MEDICAL CTR |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681940 | Stephanie Ann Kasper | Nurse Anesthetist, Certified Registered | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2005-07-02 |
| 1306396270 | Jill Marie Strahm | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-10-04 |
| 1700330719 | Mary Ursick | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-08-08 |
| 1306203088 | Kyla Jerrick | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-01-26 |
| 1922464700 | Bridgett Marie Searls | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-01-08 |
| 1417313669 | Amal Sufian | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2016-01-04 |
| 1538533252 | Maggie Marie Conley | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-11-18 |
| 1063882413 | Sydnie Luther | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-09-28 |
| 1245609122 | Rachael Leigh Schmidt | Nurse Practitioner | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-09-21 |
| 1053795641 | Deborah Pittock | Social Worker | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2015-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1033521117 | Omri David Soffer | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2014-05-23 |
| 1740570068 | Courtney Kiser Mclean | Pediatrics | 8200 Dodge Street, Neonatology, Omaha, NE 68114-4113 | 2011-04-08 |
| 1669608147 | Professional Services of Creighton University Medical Center, LLC | Pediatrics | 601 N 30th St, Omaha, NE 68131-2137 | 2009-06-10 |
| 1154478972 | John Schmidt | Pediatrics | 601 N 30th St, Ste. 6843, Omaha, NE 68131-2128 | 2007-01-04 |
| 1780635953 | Terence L Zach | Pediatrics | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-13 |
| 1093765562 | Richard F Olney | Pediatrics | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-12 |
| 1194775973 | Lynne D Willett | Pediatrics | 8200 Dodge St, Omaha, NE 68114 | 2006-05-11 |
| 1154370484 | Harold A Kaftan | Pediatrics | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-05 |
| 1477501310 | Garth E Fletcher | Pediatrics | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-04 |
| 1154389930 | Lynn D O'hanlon | Pediatrics | 8200 Dodge St, Childrens Hospital, Omaha, NE 68114-4113 | 2006-05-02 |
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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.