MR. PAUL MATT BOLAND (NPI# 1467921833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467921833 |
| Entity Type | Individual |
| Full Name | MR. PAUL MATT BOLAND |
| Credential | FNP-C |
| Practice Address |
1214 E National Ave Ste 90a Brazil IN 47834 |
| Mailing Address |
250 W 96th St # 520 Indianapolis IN 46260-1316 |
| Practice Telephone | 8124422900 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008353A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Ambucare Clinic, 3387 S Us Hwy 41, Terre Haute, IN 47802 | 8122325532 | 8122322574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013230382 | Paul James Boland | Physician Assistant | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2010-03-01 |
| 1417024670 | Paul A Boland | Specialist | 110 Osigian Blvd, Warner Robins, GA 31088-7880 | 2006-11-30 |
| Street Address |
1214 E NATIONAL AVE STE 90A |
| City | BRAZIL |
| State | IN |
| Zip Code | 47834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124096193 | Shauna Elizabeth Poe-ames | Nurse Practitioner | 1214 E National Ave Ste 90a, Brazil, IN 47834 | 2006-03-08 |
| 1013362672 | Lori Jean Wiley | Nurse Practitioner | 1214 E National Ave Ste 90a, Brazil, IN 47834-2746 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149763 | Stephen P Ernest | Pharmacist | Kroger Pharmacy Store 248, 100 Forest Park Plaza, Brazil, IN 47834 | 2019-11-27 |
| 1891211330 | Melissa Ann Barker | Family Medicine | 115 Murphy Ave, Suite A, Brazil, IN 47834 | 2017-08-16 |
| 1528387412 | Internal Medicine Practice, LLC | Internal Medicine | 1011 E. National Ave, Brazil, IN 47834 | 2010-05-18 |
| 1770778102 | Fcp, Inc. | Clinic/Center | 11295 Ncr 300w, Brazil, IN 47834 | 2007-09-10 |
| 1760605505 | Erin Jenelle Graves | Speech-Language Pathologist | 1841 West County Road 500 North, Brazil, IN 47834 | 2007-04-10 |
| 1568581049 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 107 Villa Court #a, Brazil, IN 47834 | 2007-03-28 |
| 1255491130 | Raymond L Dennany IIi | Dentist | 21 N Washington St, Brazil, IN 47834 | 2006-12-11 |
| 1619054715 | Michael E Whitman | Chiropractor | 501 E Us Hwy 40, Brazil, IN 47834 | 2006-11-01 |
| 1275635534 | Nilah Nicole Bonham | Optometrist | 325 W National Avenue, Brazil, IN 47834 | 2006-09-05 |
| 1649387937 | John Jay Cash | Dentist | 924 South Forest Avenue, Brazil, IN 47834 | 2006-08-24 |
| Find all providers in zip 47834 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740760784 | Kaitlyn Nevill | Nurse Practitioner | 1214 E National Ave Ste 100, Brazil, IN 47834-2700 | 2018-08-20 |
| 1770062440 | Karen Nelson | Nurse Practitioner | 1214 E National Ave Ste 100, Brazil, IN 47834-2700 | 2018-08-13 |
| 1013362672 | Lori Jean Wiley | Nurse Practitioner | 1214 E National Ave Ste 90a, Brazil, IN 47834-2746 | 2016-05-02 |
| 1487813085 | Penelope Fay Callaway | Nurse Practitioner | 1214 E National Ave Ste 100, Brazil, IN 47834-2700 | 2008-06-09 |
| 1619967098 | Elizabeth Ann Hines | Nurse Practitioner | 115 S Murphy Ave, Suite A, Brazil, IN 47834-8296 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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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.