MR. JOSE M BOLANOS (NPI# 1740389543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740389543 |
| Entity Type | Individual |
| Full Name | MR. JOSE M BOLANOS |
| Credential | MD PA |
| Practice Address |
725 E Coy Smith Highway Mt Vernon AL 36560 |
| Practice Telephone | 2516626700 |
| Practice Fax Number | 2518295385 |
| Mailing Telephone | 2516626700 |
| Mailing Fax Number | 2518295385 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA64 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457563470 | Jose Luis Bolanos | Counselor | 2116 N Frederic St, 18646 Oxnard St, Burbank, CA 91504-3323 | 2007-05-03 |
| 1366461766 | Jose Humberto Bolanos | Pediatrics | 7217 Green Slope Dr, Zephyrhills, FL 33541-1306 | 2006-07-18 |
| 1992721989 | Jose Raul Bolanos | Obstetrics & Gynecology | 15899 Los Gatos Almaden Rd #4, Los Gatos, CA 95032-3739 | 2006-07-14 |
| 1205818622 | Jose Thomas Bolanos | Internal Medicine | 1555 Barrington Rd, Dob 3, #4100, Hoffman Estates, IL 60169-1019 | 2005-11-20 |
| 1164414637 | Jose M. Bolanos | Pathology | 1775 Dempster St, Lutheran General Hospital / Pathology Department, Park Ridge, IL 60068-1143 | 2005-08-19 |
| Street Address |
725 E COY SMITH HIGHWAY |
| City | MT VERNON |
| State | AL |
| Zip Code | 36560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255870085 | Truly Pollard | Counselor | 18125 Highway 43, Mount Vernon, AL 36560 | 2017-02-13 |
| 1023293156 | Springhill Physician Practices, Inc | Clinic/Center | 21741 Us Highway 43, Mt Vernon, AL 36560 | 2008-01-08 |
| 1306909569 | Margie M Wiley | Technician, Other | Mt. Vernon Pharmacy, 19390 Hwy 43 & Mildred St., Mt. Vernon, AL 36560 | 2006-12-19 |
| 1841366481 | Mcconaghy Drug Store Inc | Durable Medical Equipment & Medical Supplies | 19390 Hwy 43 and Mildred Street, Mount Vernon, AL 36560 | 2006-11-27 |
| 1972698199 | Mobile County Board of Health | Clinic/Center | 1080 Reservation Rd, Mount Vernon, AL 36560 | 2006-10-04 |
| 1427066307 | State of Alabama Dept of Finance | Psychiatric Hospital | 725 East Coy Smith Hwy, Mt Vernon, AL 36560 | 2006-08-04 |
| 1972511855 | Pedro Dejesus Polanco | Psychiatry & Neurology | 725 East Coy Smith Highway, Mt Vernon, AL 36560 | 2006-08-04 |
| 1942792684 | Jessica Amaka Clarke | Nurse Practitioner | 950 East Coy Smith Hwy, Mt. Vernon, AL 36560 | 2018-05-30 |
| 1124211255 | Damon Ann Robinson | Psychologist | 725 East Coy Smith Highway, Mt Vernon, AL 36560 | 2007-08-22 |
| 1780709311 | Joanna Mccraney | Psychologist | 725 East Coy Smith Highway, Searcy Hospital, Mount Vernon, AL 36560 | 2007-03-20 |
| Find all providers in zip 36560 | ||||
| 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 |
|---|---|---|---|---|
| 1871714568 | Olga Levin-canger | Physician Assistant | 14 South 2nd Ave, Mt Vernon, NY 10550 | 2007-05-01 |
| 1295252435 | Averil Mara True | Physician Assistant | 300 Hospital Parkway, P. O. Box 1376, Mt Vernon, WA 98273 | 2017-08-28 |
| 1639205446 | Starnipha Fletcher | Physician Assistant | 107 W 4th St, Mt Vernon, NY 10550 | 2007-02-26 |
| 1992750954 | David M Bender | Physician Assistant | 1415 E Kincaid St, Mt Vernon, WA 98273-4126 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1235749276 | Danna Self | Physician Assistant | 7848 Shriner Dr, Pinson, AL 35126-2416 | 2020-08-04 |
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1710516208 | Dnika C Joseph | Physician Assistant | 255 Three Sons Dr, Hoover, AL 35226-2952 | 2020-04-06 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| 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.