PAMELA GRAY BOLAND (NPI# 1538279864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538279864 |
| Entity Type | Individual |
| Full Name | PAMELA GRAY BOLAND |
| Credential | M.D. |
| Practice Address |
125 Medical Park Ln Suite H Murphy NC 28906-6920 |
| Practice Telephone | 8288372128 |
| Practice Fax Number | 8288376244 |
| Mailing Telephone | 8288372128 |
| Mailing Fax Number | 8288376244 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | N2009 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 24742 | NC | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
N2009 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBSTX | 8BE069 | 01 |
| NC | 8916463 | 05 | |
| TX | BCBSTX | 1538279864 | 01 |
| TX | 201428401 | 05 | |
| TX | TRICARE SOUTH | 1538279864 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738086 | Pamela Boland | Radiology | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2005-05-24 |
| 1134561145 | Pamela Louise Boland | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-07-19 |
| 1518146760 | Pamela A Boland | Counselor | 1306 11th Ave, Greeley, CO 80631-3835 | 2007-10-24 |
| 1194852970 | Pamela Leigh Boland | Physical Therapist | 707 N Broadway, Baltimore, MD 21205-1832 | 2007-02-27 |
| Street Address |
125 MEDICAL PARK LN SUITE H |
| City | MURPHY |
| State | NC |
| Zip Code | 28906-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393225 | Victoria L Clements | Pediatrics | 125 Medical Park Ln, Suite H, Murphy, NC 28906-6920 | 2005-08-22 |
| 1588020770 | Murphy Post-acute and Wellness LLC | Case Management | 125 Medical Park Ln, Suite H, Murphy, NC 28906-6920 | 2016-01-05 |
| 1649691437 | Mission Hospitals, Inc. | Genetic Counselor, MS | 125 Medical Park Ln, Suite H, Murphy, NC 28906-6920 | 2013-12-20 |
| 1487892204 | Georgia Cancer Specialists I, PC | Internal Medicine | 125 Medical Park Ln, Suite I, Murphy, NC 28906-6920 | 2009-02-02 |
| 1487782942 | Peachtree Pediatrics, Pllc | Pediatrics | 125 Medical Park Ln, Suite F, Murphy, NC 28906-6920 | 2007-02-28 |
| 1881704195 | Kathryn Gibson Waggoner | Pediatrics | 125 Medical Park Ln, Suite H, Murphy, NC 28906-6920 | 2006-08-30 |
| 1326029109 | Clay Comprehensive Health Services, Inc. | Family Medicine | 125 Medical Park Ln, Suite F, Murphy, NC 28906-6920 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441433 | Paul Lawrence Gaddis | Counselor | 750 Hwy 64 East, Murphy, NC 28906 | 2020-09-14 |
| 1366079998 | Clinic On Wheels | Nurse Practitioner | 17 Peachtree Stree, Suite 3, Murphy, NC 28906 | 2020-03-24 |
| 1033757646 | Kristen Beasley Shuler | Nurse Practitioner | 4048 Us Hwy 64 Alternate, Suite 1, Murphy, NC 28906 | 2019-12-13 |
| 1477197556 | Ashley Crowder | Nurse Practitioner | 3990 East Us Highway 64 Alternate, Murphy, NC 28906 | 2019-11-01 |
| 1255989414 | Amy Utley | Physical Therapy Assistant | Pro Motion Rehab, 2810 W Us-64 Suite 1, Murphy, NC 28906 | 2019-08-30 |
| 1760905053 | Marlana Baker | Physical Therapy Assistant | 1787 W Us Hwy 64, Suite 3, Murphy, NC 28906 | 2017-07-19 |
| 1659802445 | Ruslan Garcia | Internal Medicine | 4048 E U.S. Highway 64 Alternate, Suite 1, Murphy, NC 28906 | 2017-03-23 |
| 1124481007 | Laura Maegan White | Dietitian, Registered | 3990 E U.S. Highway 64 Alternate, Murphy, NC 28906 | 2016-03-30 |
| 1437520392 | Murphy Medical Center, Inc. | Family Medicine | 183b Ledford Street, No Mail Receptacle, Murphy, NC 28906 | 2015-10-16 |
| 1134565872 | David J. Mock, Md, Pa | Clinic/Center | 3765 E Hwy 64 Alt, Suite 9, Murphy, NC 28906 | 2013-05-21 |
| Find all providers in zip 28906 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328761 | Ki L Abel | Pediatrics | Unc At Chapel Hill, Cb 7220, 5th Floor Bioinformatics, Chapel Hill, NC 27599-7220 | 2005-09-29 |
| 1992151468 | Shikha Nigam | Pediatrics | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2016-05-13 |
| 1588009955 | Jennifer Tiller | Pediatrics | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2013-04-30 |
| 1730378886 | Anna Rominger | Pediatrics | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2007-10-15 |
| 1912061474 | James W Fox | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-20 |
| 1619074408 | Brunilda Cordero | Pediatrics | 101 Robeson St, Suite 410, Fayetteville, NC 28301-5552 | 2006-09-20 |
| 1811912264 | Robert Schafermeyer | Pediatrics | 6025 Blakeney Park Dr, Suite 100, Charlotte, NC 28277-5703 | 2006-07-13 |
| 1023076932 | Childrens Acute Care Pa | Pediatrics | 1638 Owen Dr, Pediatric Emergency Dept, Fayetteville, NC 28304-3424 | 2006-05-02 |
| 1558330688 | Peter Dayan | Pediatrics | Columbia Unversity Department Pediatrics, 3959 Broadway, New York, NC 10032 | 2006-03-14 |
| 1699759092 | Milan Dattatam Nadkarni | Pediatrics | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-30 |
| 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.