CHARLES MARTIN BOLNO (NPI# 1427113349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427113349 |
| Entity Type | Individual |
| Full Name | CHARLES MARTIN BOLNO |
| Credential | D.O |
| Practice Address |
404b Huntingdon Pike Rockledge PA 19046-4448 |
| Practice Telephone | 2156631555 |
| Practice Fax Number | 2156631013 |
| Mailing Telephone | 2156631555 |
| Mailing Fax Number | 2156631013 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OSOO3331L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0686151 | 05 |
| Street Address |
404B HUNTINGDON PIKE |
| City | ROCKLEDGE |
| State | PA |
| Zip Code | 19046-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279061 | Yves Rose Josselin | In Home Supportive Care | 610 Old Yord Road, Suite 400, Jenkintown, PA 19046 | 2019-05-06 |
| 1942790498 | Elizabeth Collins Cook | Counselor | 501 Old York Rd Unit 4, Jenkintown, PA 19046 | 2018-05-10 |
| 1013407568 | Samuel Albert | Counselor | 501 York Rd Unit 4 Renew Family Services LLC, Jenkintown, PA 19046 | 2018-05-10 |
| 1275050841 | Khristina Tylo | Home Health Aide | 1653 The Fairway St, Jenkintown, PA 19046 | 2017-08-24 |
| 1073053898 | Jennifer Nicole Romania | Physician Assistant | 500 Old York Road, Suite 201, Jenkintown, PA 19046 | 2017-02-27 |
| 1790159648 | Crystina Kaylin Cave | Physician Assistant | Holy Redeemer Hospital, 1648 Huntingdon Pike, Huntingdon Valley, PA 19046 | 2015-11-16 |
| 1790112225 | Jerry H Herman | Obstetrics & Gynecology | 906 Frog Hollow Terrace, Rydal, PA 19046 | 2013-09-30 |
| 1861828774 | Christopher T Flood | Physical Therapist | 676 Old York Road, Jenkintown, PA 19046 | 2013-09-24 |
| 1013251420 | Ann K Lodovichetti | Physical Medicine & Rehabilitation | 1616 Hungtindon Pike, Meadowbrook, PA 19046 | 2012-11-26 |
| 1689941916 | Sandra H. Kosmin | Social Worker | 114 Forrest Avenue, Suite 2, Narberth, PA 19046 | 2011-12-01 |
| Find all providers in zip 19046 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518038447 | James A Aurand | Family Medicine | 3140 Suntree Blvd, Suite 5, Rockledge, FL 32955-5789 | 2006-11-13 |
| 1134146046 | Brevard Family Walk In Clinic LLC | Family Medicine | 1260 Us Highway 1, Rockledge, FL 32955-2728 | 2006-07-16 |
| 1073550950 | Jasen S Kobobel | Family Medicine | 1950 Rockledge Blvd Ste 101, Rockledge, FL 32955-2728 | 2006-06-01 |
| 1487602082 | Francis Afutu Ashie | Family Medicine | 1007 Beverly Dr, Suite C, Rockledge, FL 32955-2833 | 2006-05-05 |
| 1750339230 | Erich A Arias | Family Medicine | 1300 Florida Ave S, Rockledge, FL 32955-2482 | 2006-05-05 |
| 1245290840 | Vincent Sciortino | Family Medicine | 840 Executive Ln Ste 110, Rockledge, FL 32955-3519 | 2006-03-27 |
| 1144289620 | Khaled A Mohamed | Family Medicine | 220 Barton Blvd, Unit C#14, Rockledge, FL 32955-2742 | 2006-03-22 |
| 1558852715 | Brevard Integrated Health Center LLC | Family Medicine | 1211 Admiralty Blvd, Rockledge, FL 32955-5201 | 2018-05-23 |
| 1073990503 | Lauren Elise Moak Williams | Family Medicine | 220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 | 2015-05-05 |
| 1750626495 | Health First Medical Group, LLC | Family Medicine | 6450 Us Highway 1, Rockledge, FL 32955 | 2012-12-06 |
| Find all providers in ROCKLEDGE | ||||
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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.