JOHN W BOLDT JR. (NPI# 1629067335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629067335 |
| Entity Type | Individual |
| Full Name | JOHN W BOLDT JR. |
| Credential | MD |
| Practice Address |
979 E 3rd St Suite B-805 Chattanooga TN 37403-2136 |
| Mailing Address |
Po Box 11547 Chattanooga TN 37401-2547 |
| Practice Telephone | 4237789101 |
| Practice Fax Number | 4237784397 |
| Mailing Telephone | 4237783274 |
| Mailing Fax Number | 4237782255 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
26336 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720195795 | John Boldt | Obstetrics & Gynecology | 527 N Leona St, Downtown Clinic, San Antonio, TX 78207-3110 | 2006-08-24 |
| Street Address |
979 E 3RD ST SUITE B-805 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849849 | Daniel B Herz | Urology | 979 E 3rd St, Suite C-925, Chattanooga, TN 37403-2136 | 2005-05-28 |
| 1255948618 | Laura Katherine Johnson | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-29 |
| 1407462039 | Nitha Ketts | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-18 |
| 1568078475 | Christina Brooke Robinson | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-17 |
| 1922628601 | Yuliya Timoshchuk | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-04-22 |
| 1972154953 | Roseann Marie Lobach | Nurse Practitioner | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2019-09-22 |
| 1942867361 | Jessica Burns Tyner | Registered Nurse | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2019-05-21 |
| 1447784103 | Jonathan Brent Moss | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 | 2017-04-19 |
| 1083148084 | Dresden Miranda Melton | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 | 2017-04-17 |
| 1982138426 | Margaret Elizabeth Gardner | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite C-720, Chattanooga, TN 37403-2136 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699065722 | Radhika Shah | Internal Medicine | 979 E 3rd St Ste C735, Chattanooga, TN 37403-3310 | 2011-04-11 |
| 1528360765 | Geraldo Enrique Holguin | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404-1138 | 2010-11-20 |
| 1194924423 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 628 Morrison Springs Road, Suite 300, Chattanooga, TN 37415-3430 | 2007-07-17 |
| 1639226335 | Mani Ravee | Internal Medicine | 6714 Heritage Business Ct, Chattanooga, TN 37421-2596 | 2007-01-04 |
| 1043209265 | Daniel R Smith | Internal Medicine | 1032 Mccallie Avenue, Ste 300, Chattanooga, TN 37403 | 2005-10-20 |
| 1497744114 | Yune-gill Jeong | Internal Medicine | 1614 Gunbarrel Rd Ste 101, Chattanooga, TN 37421 | 2005-10-14 |
| 1558969386 | Koo-l-ungs Pulmonary Specialists LLC | Internal Medicine | 2626 Walker Rd, Chattanooga, TN 37421-1116 | 2020-10-14 |
| 1245706746 | Ceob Medical Consulting, LLC | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402-1916 | 2018-10-23 |
| 1154823078 | Chattanooga Lung Specialists, LLC | Internal Medicine | 6714 Heritage Business Ct, Chattanooga, TN 37421-2596 | 2018-03-07 |
| 1265954424 | In Charge Medical Professionals Tn,pc | Internal Medicine | 709 Walnut St, Chattanooga, TN 37402 | 2017-07-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.