BLAKE ELIZABETH BOHLIG (NPI# 1639703796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639703796 |
| Entity Type | Individual |
| Full Name | BLAKE ELIZABETH BOHLIG |
| Credential | PA-C |
| Practice Address |
335 Tamarack Ln Rutland VT 05701-9501 |
| Practice Telephone | 8027708995 |
| Mailing Telephone | 8027708995 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA7618 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
335 TAMARACK LN |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1457482101 | Suzanne Jones | Physician Assistant | 12 Commons Street, Suite 1, Rutland, VT 05701-4601 | 2007-03-07 |
| 1801843586 | Kathleen M Derham | Physician Assistant | 10 Commons St, Rutland, VT 05701-4651 | 2006-05-28 |
| 1568982353 | Jeffrey Spencer | Physician Assistant | 160 Allen St, Rutland, VT 05701 | 2017-06-22 |
| 1518492560 | Emily Feinberg | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-27 |
| 1811446065 | Noah F. Wollenburg | Physician Assistant | 10 Commons St, Rutland, VT 05701 | 2016-09-29 |
| 1043569007 | Amy P Corey | Physician Assistant | 215 Stratton Rd, Rutland, VT 05701-4621 | 2012-09-06 |
| 1437414141 | Leah Anderson Skypeck | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2012-07-09 |
| 1982961611 | Kristin Angeline Camp Sperber | Physician Assistant | 215 Stratton Rd, Rutland, VT 05701-4621 | 2012-04-19 |
| 1457635732 | Parrish Smith | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2011-10-04 |
| Find all providers in RUTLAND | ||||
Please comment or provide details below to improve the information on BLAKE ELIZABETH BOHLIG.
| 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.