MR. THOMAS TRIMBLE BOLTON (NPI# 1881033942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881033942 |
| Entity Type | Individual |
| Full Name | MR. THOMAS TRIMBLE BOLTON |
| Credential | PA-C |
| Practice Address |
118 Shenandoah Dr Ste A Shenandoah TX 77381-1203 |
| Practice Telephone | 2815834000 |
| Mailing Telephone | 2815834000 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA650816 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.200628 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114101664 | Thomas Horatio Bolton | Pharmacist | 1340 State St., Schenectady, NY 12304-2797 | 2007-12-19 |
| 1871574665 | Thomas A Bolton | Pathology | 2013 Ponce De Leon Ave, West Palm Beach, FL 33407-6019 | 2005-11-08 |
| 1245305341 | Thomas B Bolton | Emergency Medicine | 1906 Belleview Ave Se, Emergency Dept, Roanoke, VA 24014-1838 | 2006-11-22 |
| 1477662302 | Thomas Mclean Bolton | Durable Medical Equipment & Medical Supplies | 417 E Baltimore St, Unit A, Taneytown, MD 21787-2300 | 2006-08-30 |
| Street Address |
118 SHENANDOAH DR STE A |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77381-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164698221 | David William Daniel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118 Shenandoah Dr Ste A, Shenandoah, TX 77381-1203 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128856 | Y2k Services, LLC | Non-emergency Medical Transport (VAN) | 74 Natures Harp Ct, Spring, TX 77381 | 2020-09-09 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| 1740793595 | Brazo Pharmacy LLC | Pharmacy | 2700 Technology Forest Blvd Ste 200, The Woodlands, TX 77381 | 2017-11-14 |
| 1275045288 | Marney Vitthal | Speech-Language Pathologist | 2 Cranberry Bend, Spring, TX 77381 | 2017-10-31 |
| 1205293453 | Add Health and Wellness of The Woodlands, LLC | Counselor | 2700 Research Forest Dr #130, The Woodlands, TX 77381 | 2016-01-19 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1932526894 | Hung Van Doan | Acupuncturist | 9001 Forest Crossing Drive, Suite F, Houston, TX 77381 | 2014-03-27 |
| 1215358726 | Dustin Etemadi | Chiropractor | 4810 W. Panther Creek Dr., Suite 105, The Woodlands, TX 77381 | 2013-12-31 |
| 1194075697 | The Woodlands Eating Disorders Center | Psychologist | 4840 W. Panther Creek Dr., Ste. 212, The Woodlands, TX 77381 | 2012-09-12 |
| 1386992980 | Proteome Diagnostics, LLC | Clinical Medical Laboratory | 79 N. Misty Morning Trace, Spring, TX 77381 | 2012-08-29 |
| Find all providers in zip 77381 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114314523 | D&p Ortho LLC | Physician Assistant | 9201 Pinecroft Dr Ste 295, Shenandoah, TX 77380-3222 | 2015-04-23 |
| 1922008606 | Jeffrey David Turnbull | Physician Assistant | 118 Shenandoah Dr, Suite A, Shenandoah, TX 77381-1204 | 2005-07-26 |
| 1295383172 | Travis Lee Lockwood | Physician Assistant | 111 Vision Park Blvd Ste 260, Shenandoah, TX 77384-3004 | 2019-09-03 |
| 1003324310 | Hoben Neuro Group LLC | Physician Assistant | 1111 Medical Plaza Dr, Shenandoah, TX 77380-3476 | 2018-01-21 |
| 1568826907 | Chelsea Irene Peterson | Physician Assistant | 9200 Pinecroft Dr, Shenandoah, TX 77380-3279 | 2016-04-12 |
| 1144657586 | Alana Nicole Wilson | Physician Assistant | 9200 Pinecroft Dr, Suite 460, Shenandoah, TX 77380-3279 | 2013-09-30 |
| 1629347281 | Samantha Anne Krenz | Physician Assistant | 9200 Pinecroft Dr, Ste. 130, Shenandoah, TX 77380-3279 | 2011-12-27 |
| 1144464249 | Timothy Micheal York | Physician Assistant | 111 Vision Park Blvd, Suite 240, Shenandoah, TX 77384-3002 | 2009-04-21 |
| 1891828851 | Tianjie Lai | Physician Assistant | 9201 Pinecroft Dr, Shenandoah, TX 77380-3222 | 2007-03-13 |
| 1467543835 | Kps Cardiovascular Surgery Pa | Physician Assistant | 118 Shenandoah Dr, Suite A, Shenandoah, TX 77381-1204 | 2006-09-28 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 77381 |
Please comment or provide details below to improve the information on MR. THOMAS TRIMBLE BOLTON.
| 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.