MARK ANDREW BOLOIS (NPI# 1629505193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629505193 |
| Entity Type | Individual |
| Full Name | MARK ANDREW BOLOIS |
| Practice Address |
6694 Taylor Rd Clinton OH 44216-9201 |
| Mailing Address |
8350 Shady Lane Dr Broadview Hts OH 44147-1638 |
| Practice Telephone | 3308255202 |
| Practice Fax Number | 2346786919 |
| Mailing Telephone | 3307157671 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN.470099 | OH | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 143671 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1821411273 | 05 |
| Street Address |
6694 TAYLOR RD |
| City | CLINTON |
| State | OH |
| Zip Code | 44216-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821411273 | New Destiny Treatment Center, Inc. | Family Medicine | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2014-01-21 |
| 1447861604 | William A Egut | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2020-08-12 |
| 1376161091 | New Destiny Treatment Center, Inc. | Substance Abuse Rehabilitation Facility | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2020-07-09 |
| 1033731807 | Thomas Sherman Howard | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2020-05-14 |
| 1598240061 | Robert Daniel Loper | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-10-01 |
| 1598252280 | Quentin Wayne Cowling | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-04-18 |
| 1356840276 | Brandon Caleb Hart | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-02-06 |
| 1174022081 | Vance E Little | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-02-06 |
| 1346749645 | Clarence Anthony Curry | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-02-02 |
| 1689173999 | Rebecca E Miller | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609390921 | Jennifer Guyton | Occupational Therapy Assistant | 1373 Center Rd, Clinton, OH 44216 | 2017-07-28 |
| 1447785068 | Robert W Bolois | Counselor | 6694 Taylor Rd., Doylestown, OH 44216 | 2017-04-21 |
| 1891211397 | Lewis English | Counselor | 6694 Taylor Rd., Clinton, OH 44216 | 2017-08-16 |
| 1275669574 | Community Care On Wheels | Non-emergency Medical Transport (VAN) | 60 Kauffmans Crk, Clinton, OH 44216-8658 | 2007-02-23 |
| 1285673160 | Village of Clinton | Ambulance | 7717 Cleveland Massillon Rd, Clinton, OH 44216-8912 | 2006-06-06 |
| 1205237021 | Tresa Nist | Physical Therapy Assistant | 6125 Spangler Dr, New Franklin, OH 44216-8949 | 2014-09-11 |
| 1215350244 | Jeri Ball | Lactation Consultant, Non-RN | 6325 Lieb Dr, New Franklin, OH 44216-9131 | 2014-01-27 |
| 1154825420 | Karen Gene Nitzel | Licensed Practical Nurse | 8177 Cleve Mass Rd Lot 30, Clinton, OH 44216-9146 | 2018-03-21 |
| 1093315038 | Lisa Marie Weyrick | Respite Care | 6211 N Oval Rd, New Franklin, OH 44216-9318 | 2020-10-29 |
| 1356731186 | Tara Clark | Community Health Worker | 3030 Grill Rd, New Franklin, OH 44216-9320 | 2015-02-02 |
| Find all providers in zip 44216 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030367 | Sara Ann Costly | Registered Nurse | 212 Bingham Dr, Clinton, TN 37716-7146 | 2020-07-14 |
| 1861013799 | Destiny Ann Ballew | Registered Nurse | 139 Ozella Ln, Clinton, TN 37716-6224 | 2020-05-01 |
| 1922645589 | Elise Ades Milliman | Registered Nurse | 113 Oakhurst Dr, Clinton, MS 39056-3121 | 2019-12-03 |
| 1508401357 | Ebone Williams | Registered Nurse | 114 Cherokee Trl, Clinton, MS 39056-3161 | 2019-11-14 |
| 1275174401 | Kari Leanne Barnett | Registered Nurse | 906 N Us Highway 421, Clinton, NC 28328-0410 | 2019-09-29 |
| 1851940951 | Annisha Jones | Registered Nurse | 316 Kirkwood Dr, Clinton, MS 39056-5882 | 2019-09-10 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1174085633 | Advance Healthcare Providers LLC | Registered Nurse | 2709 Pumpkin St, Clinton, MD 20735-1057 | 2019-04-03 |
| 1922577519 | Amanda Brown | Registered Nurse | 62 Utica St, Clinton, NY 13323-1528 | 2018-11-13 |
| 1619475548 | Judith Ann Kenning | Registered Nurse | 4188 Winns Hollow Ln Unit 1, Clinton, WA 98236-8429 | 2018-01-25 |
| Find all providers in CLINTON | ||||
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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.