MICHAEL TODD BOLTON (NPI# 1487864708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487864708 |
| Entity Type | Individual |
| Full Name | MICHAEL TODD BOLTON |
| Credential | M.D. |
| Practice Address |
7777 Hennessy Blvd Suite 502 Baton Rouge LA 70808-4300 |
| Practice Telephone | 2257656834 |
| Practice Fax Number | 2257651202 |
| Mailing Telephone | 2257656834 |
| Mailing Fax Number | 2257651202 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
MD.200870 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04953094 | 05 | |
| LA | 1071871 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669738274 | Michael Adams Bolton | Psychiatry & Neurology | 26492 Aracena Dr, Mission Viejo, CA 92691-5102 | 2012-04-09 |
| 1942856216 | Michael Dwayne Bolton | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2019-08-13 |
| 1114103629 | Michael J. Bolton | Internal Medicine | 904 7th Ave, Seattle, WA 98104-1132 | 2008-01-14 |
| 1578686283 | Michael Vincent Bolton | Orthotist | 350 Northern Blvd, Suite 101, Albany, NY 12204-1000 | 2007-04-09 |
| Street Address |
7777 HENNESSY BLVD SUITE 502 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143841 | Jeffrey Dean Hyde | Internal Medicine | 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808-4300 | 2005-06-13 |
| 1487211397 | Karrie G Mccoy | Nurse Practitioner | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2019-05-27 |
| 1912466160 | Paige Cantrell Guillory | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2019-03-18 |
| 1699267666 | Osaretin Charles Aimuyo | Pediatrics | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2018-06-05 |
| 1962992883 | John Ghassan | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2018-05-16 |
| 1003312414 | Jamie Nicole Scharfschwerdt | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2018-04-04 |
| 1356859888 | Kristen Pilcher Boudreaux | Nurse Anesthetist, Certified Registered | 7777 Hennessy Blvd, Ste 301, Baton Rouge, LA 70808 | 2018-01-18 |
| 1548784192 | Erickia Lee Le Meunier | Nurse Practitioner | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2017-07-26 |
| 1215457023 | Amy Miller | Nurse Practitioner | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2017-06-22 |
| 1053852806 | Kathryn Tetreault | Nurse Anesthetist, Certified Registered | 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808-4300 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871673111 | John Anthony Vanchiere | Pediatrics | 1501 Kings Hwy # 5-303, Shreveport, LA 71103-4228 | 2006-10-17 |
| 1689221020 | Wk Childrens Health Specialists | Pediatrics | 2032 Elizabeth Ave, Shreveport, LA 71104-2123 | 2019-08-21 |
| 1942537378 | Gayatri Mirani | Pediatrics | 2601 Tulane Ave, 500, New Orleans, LA 70119-7462 | 2009-11-05 |
| 1265527469 | Richard Oberhelman | Pediatrics | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-04 |
| 1972698132 | Russell Barrett Vandyke | Pediatrics | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-04 |
| 1003901232 | James Robinson | Pediatrics | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-04 |
| 1508950247 | Lorna M Seybolt | Pediatrics | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2006-10-03 |
| 1053405308 | Margarita Silio | Pediatrics | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-03 |
| 1023031077 | Rodolfo E Begue | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2006-07-25 |
| 1760402630 | Joseph Anthony Bocchini Jr. | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Chairman, Shreveport, LA 71103-4228 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.