NICHOLAS K BOLLING (NPI# 1346756160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346756160 |
| Entity Type | Individual |
| Full Name | NICHOLAS K BOLLING |
| Credential | PA |
| Practice Address |
6144 Airport Blvd Mobile AL 36608-3143 |
| Practice Telephone | 2514765050 |
| Practice Fax Number | 2514502770 |
| Mailing Telephone | 2514765050 |
| Mailing Fax Number | 2514502770 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PENDING | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | TAXONOMY | 363AM0700X | 01 |
| Street Address |
6144 AIRPORT BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265410658 | Albert Fox Haas | Orthopaedic Surgery | 6144 Airport Blvd, Mobile, AL 36608 | 2006-01-05 |
| 1205489804 | Jonathon Andrew Gibson | Orthopaedic Surgery | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2019-07-23 |
| 1275197212 | Sarah Scott West | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2019-04-25 |
| 1508345968 | Vincent Clay Cochran | Physical Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2018-08-07 |
| 1770003436 | Katherine Elizabeth Metzger | Occupational Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2017-06-23 |
| 1275065062 | Adam Robert Smith | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2017-03-30 |
| 1912442401 | Christopher Choquette | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-12-20 |
| 1811448129 | Joshua Glen Pyeatt | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-10-21 |
| 1174978464 | Amanda Ladner | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-04-25 |
| 1194186486 | Christine G. Conrad | Physical Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437308665 | Melanie D. Busby | Physician Assistant | 3610 Springhill Memorial Dr. N., Mobile, AL 36608-1162 | 2008-09-11 |
| 1558396093 | Karen Renae Jordan | Physician Assistant | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2006-07-12 |
| 1104345263 | Nathanael Christopher Stuck | Physician Assistant | 1601 Center St Ste 2s, Mobile, AL 36604-1541 | 2017-09-10 |
| 1942749965 | Judith Blake | Physician Assistant | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2017-02-23 |
| 1740654631 | Brent Wildberger | Physician Assistant | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2015-11-16 |
| 1508269283 | Cassie Jones | Physician Assistant | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2014-10-08 |
| 1972931533 | Shawn Clark, M.d., P.C. | Physician Assistant | 6701 Airport Blvd, #c138, Mobile, AL 36608-6705 | 2013-10-17 |
| 1841524212 | Claire Hinton Naylor | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608 | 2009-10-01 |
| 1396994521 | Susan Angerholzer Overton | Physician Assistant | 1901 Springhill Ave, Mobile, AL 36607-2303 | 2008-09-11 |
| 1649328097 | Christine Paragone | Physician Assistant | 1901 Springhill Ave, Mobile, AL 36607-2303 | 2007-01-08 |
| Find all providers in MOBILE | ||||
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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.