LYDIA K BOLEN (NPI# 1427033992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427033992 |
| Entity Type | Individual |
| Full Name | LYDIA K BOLEN |
| Other Name | LYDIA K CARTWRIGHT |
| Credential | PA-C |
| Practice Address |
1900 Wealthy St Se Suite 290 Grand Rapids MI 49506-2969 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677293 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004004 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1900 WEALTHY ST SE SUITE 290 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902890437 | David D Hamm | Internal Medicine | 1900 Wealthy St Se, Ste 220, Grand Rapids, MI 49506-2969 | 2005-09-12 |
| 1376085191 | Douglas Rau | Registered Nurse | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2016-11-10 |
| 1568910602 | Jeffrey David Ryan-stout | Physician Assistant | 1900 Wealthy St Se, 290, Grand Rapids, MI 49506-2969 | 2016-09-19 |
| 1437494317 | Sylvia Anne Malcore | Psychologist | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2012-12-04 |
| 1730443466 | Christa Anne Rector | Physical Medicine & Rehabilitation | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2012-06-27 |
| 1720354723 | Patrick Ryan Mullan | Physical Medicine & Rehabilitation | 1900 Wealthy St Se, Ste 290, Grand Rapids, MI 49506-2969 | 2012-03-24 |
| 1154699593 | Grand Rapids Cardiology | Clinic/Center | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 | 2011-12-13 |
| 1861787475 | Ryan Keith Conway | Surgery | 1900 Wealthy St Se, Suite 180, Grand Rapids, MI 49506-2969 | 2011-06-10 |
| 1861701047 | Spectrum Health Primary Care Partners | Internal Medicine | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 | 2010-10-05 |
| 1730409178 | Gabriel Enrique Gallardo | Surgery | 1900 Wealthy St Se, Suite 180, Grand Rapids, MI 49506-2969 | 2010-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473198 | Rachel M. Graziano | Physician Assistant | 18 Lowell Ave Ne, Grand Rapids, MI 49503-3760 | 2020-10-07 |
| 1811537269 | Joseph Salvatore Giovannucci | Physician Assistant | 145 Michigan St Ne Ste 2230, Grand Rapids, MI 49503-2562 | 2020-01-14 |
| 1326685686 | Mitchell Lebel | Physician Assistant | 932 Fulton St E Unit 1, Grand Rapids, MI 49503-3565 | 2019-12-05 |
| 1326680331 | Emily Wallace | Physician Assistant | 1661 Philadelphia Ave Se, Grand Rapids, MI 49507-2251 | 2019-10-10 |
| 1124688197 | Leeann Marie Kuehn | Physician Assistant | 218 Warren Ave Se, Grand Rapids, MI 49506-1582 | 2019-06-20 |
| 1770057549 | Shelby Elizabeth Hunt | Physician Assistant | 100 Michigan St Ne # Mc9017, Grand Rapids, MI 49503-2560 | 2019-01-15 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1174029094 | Katrina Ann Brummel | Physician Assistant | 555 Midtowne St Ne Ste 110, Grand Rapids, MI 49503-5731 | 2018-03-30 |
| 1902312994 | Aaron Michaud | Physician Assistant | 301 Barclay Ave Ne, Grand Rapids, MI 49503 | 2017-12-28 |
| 1538687215 | Sonia Nicola | Physician Assistant | 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 | 2017-09-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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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.