MR. CHRISTOPHER BOLTERSDORF (NPI# 1689649634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689649634 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER BOLTERSDORF |
| Credential | PA-C |
| Practice Address |
1890 Sw Health Pkwy Suite #203 Naples FL 34109-0473 |
| Practice Telephone | 2395961111 |
| Practice Fax Number | 2395961659 |
| Mailing Telephone | 2395961111 |
| Mailing Fax Number | 2395961659 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
PA9102218 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHYSICIAN'S ASST. NO | PA9102218 | 01 |
| Street Address |
1890 SW HEALTH PKWY SUITE #203 |
| City | NAPLES |
| State | FL |
| Zip Code | 34109-0473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595841 | Jennifer L Bevins | Obstetrics & Gynecology | 1890 Sw Health Pkwy, Suite 303, Naples, FL 34109-0473 | 2005-08-17 |
| 1982098083 | Collier Health Services, Inc | Clinic/Center | 1890 Sw Health Pkwy, Naples, FL 34109-0473 | 2015-03-26 |
| 1780078998 | Collier Health Services, Inc | Clinic/Center | 1890 Sw Health Pkwy, Suite 203, Naples, FL 34109-0473 | 2015-03-25 |
| 1649682345 | Alfonsina Maria Garcia-bracero | Obstetrics & Gynecology | 1890 Sw Health Pkwy, Naples, FL 34109-0473 | 2014-05-29 |
| 1255674438 | Physician's Managed Services Organization of Southwest Florida, LLC | Obstetrics & Gynecology | 1890 Sw Health Pkwy, Suite 203, Naples, FL 34109-0473 | 2013-04-05 |
| 1861790313 | Florida Woman Care LLC | Obstetrics & Gynecology | 1890 Sw Health Pkwy, Suite 205, Naples, FL 34109-0473 | 2011-03-08 |
| 1215235767 | Florida Woman Care LLC | Obstetrics & Gynecology | 1890 Sw Health Pkwy, Naples, FL 34109-0473 | 2011-03-08 |
| 1487842696 | Leela R Bolla Md Medical Associates Pa | Internal Medicine | 1890 Sw Health Pkwy, Suite #100, Naples, FL 34109-0473 | 2007-10-12 |
| 1760699631 | Mark A Singer | Dentist | 1890 Sw Health Pkwy, Suite 104, Naples, FL 34109-0473 | 2007-05-17 |
| 1306999891 | Walfred Torrens | Dentist | 1890 Sw Health Pkwy, Unit 303, Naples, FL 34109-0473 | 2007-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942749627 | Susie Theresa Hemberger | Nurse Practitioner | 2086 Morning Sun Ln, Naples, FL 34119-3325 | 2017-02-15 |
| 1306360656 | Kathy Valerie Verdes | Nurse Practitioner | 3339 Tamiami Trl E, Naples, FL 34112-5361 | 2017-07-28 |
| 1477941680 | Veronica D Andis-high | Nurse Practitioner | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2014-12-23 |
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| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
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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.