MACKENZIE ALLISON BOLES (NPI# 1932742061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932742061 |
| Entity Type | Individual |
| Full Name | MACKENZIE ALLISON BOLES |
| Credential | PA |
| Practice Address |
1000 N 16th St New Castle IN 47362-4319 |
| Mailing Address |
Po Box 485 New Castle IN 47362-0485 |
| Practice Telephone | 7655993177 |
| Practice Fax Number | 7655993176 |
| Mailing Telephone | 7655290780 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10002757A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 N 16TH ST |
| City | NEW CASTLE |
| State | IN |
| Zip Code | 47362-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700860616 | Cheryl Klein | Pediatrics | 1000 N 16th St, New Castle, IN 47362-4319 | 2005-12-05 |
| 1760963201 | Paige Tyne Redifer | Physician Assistant | 1000 N 16th St, New Castle, IN 47362-4319 | 2018-08-23 |
| 1801374137 | Timothy Allen Hall | Nurse Practitioner | 1000 N 16th St, New Castle, IN 47362-4319 | 2018-07-30 |
| 1427548494 | Jeremy Kinney | Registered Nurse | 1000 N 16th St, New Castle, IN 47362 | 2018-05-15 |
| 1174012769 | Brooke Renae Arthur | Registered Nurse | 1000 N 16th St, New Castle, IN 47362-4319 | 2018-05-09 |
| 1336644087 | Aaron Dean Holverson | Nurse Anesthetist, Certified Registered | 1000 N 16th St, New Castle, IN 47362-4319 | 2018-03-26 |
| 1306358684 | Candra Sue Gigliotti | Nurse Practitioner | 1000 N 16th St, New Castle, IN 47362-4319 | 2017-10-26 |
| 1023418316 | Matthew Steven Hinshaw | Physician Assistant | 1000 N 16th St, New Castle, IN 47362-4319 | 2014-08-25 |
| 1245659739 | Tigist W Adugna | Hospitalist | 1000 N 16th St, New Castle, IN 47362-4319 | 2014-04-10 |
| 1760800155 | Henry County Memorial Hospital | Allergy & Immunology | 1000 N 16th St, New Castle, IN 47362-4319 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851898183 | Anthony S Catron | Registered Nurse | 1229 Saint James Dr, New Castle, IN 47362 | 2018-04-12 |
| 1336499599 | Gregg Scott Shepherd | Long Term Care Hospital | 1075 W Cr 300 North, New Castle, IN 47362 | 2012-09-14 |
| 1457600876 | Linda I Sweigart | Registered Nurse | 4235 S Main St, New Castle, IN 47362 | 2012-08-30 |
| 1063797355 | Occazio, Inc | Counselor | 339 South Highway 3, New Castle, IN 47362 | 2011-10-18 |
| 1790099166 | Bethany Cares Inc. | Home Health | 2020 S. Memorial Dr., Suite I, New Castle, IN 47362 | 2010-07-28 |
| 1164733945 | Jamie Sue Cate | Hearing Instrument Specialist | 1722 S. Memorial Dr., Suite C, New Castle, IN 47362 | 2010-06-28 |
| 1649400987 | Amy Wright | Dietitian, Registered | 615 State Road 38 W, New Castle, IN 47362 | 2009-07-21 |
| 1447449285 | Amber J Harless | Marriage & Family Therapist | 3337 S State Road 3, New Castle, IN 47362 | 2007-10-17 |
| 1710172309 | Assisted Living Concepts Inc | Assisted Living Facility | 2244 Q Avenue, New Castle, IN 47362 | 2007-09-07 |
| 1760688451 | Lorenzo Eli | Legal Medicine | 1000 Van Nuys Road, New Castle, IN 47362 | 2007-06-21 |
| Find all providers in zip 47362 | ||||
| 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 |
|---|---|---|---|---|
| 1588916225 | Danielle N Rand | Physician Assistant | 2602 Wilmington Road, Suite 200, New Castle, PA 16105-1538 | 2012-10-04 |
| 1063542355 | Wesley R Coffman | Physician Assistant | 2200 Forest Ridge Pkwy Ste 240, New Castle, IN 47362-2943 | 2007-03-06 |
| 1558900274 | Ryan Miles Page | Physician Assistant | 3120 Wilmington Rd, New Castle, PA 16105-1168 | 2019-12-27 |
| 1780141861 | Molly Anne Cox | Physician Assistant | 2200 Forest Ridge Pkwy Ste 240, New Castle, IN 47362-2943 | 2019-02-26 |
| 1932672151 | Laila Adams | Physician Assistant | 239 Christiana Rd, New Castle, DE 19720-2907 | 2019-01-10 |
| 1760963201 | Paige Tyne Redifer | Physician Assistant | 1000 N 16th St, New Castle, IN 47362-4319 | 2018-08-23 |
| 1811400369 | Alyssa Day German | Physician Assistant | 239 Christiana Rd, New Castle, DE 19720-2907 | 2017-11-07 |
| 1629508577 | Rebecca Jean Hoistad | Physician Assistant | 2200 Forest Ridge Pkwy Ste 240, New Castle, IN 47362-2943 | 2017-06-14 |
| 1558759878 | Barbara Ray Fennick | Physician Assistant | 1750 New Butler Rd, New Castle, PA 16101-3184 | 2015-01-08 |
| 1841690252 | Brian K Williams | Physician Assistant | 2200 Forest Ridge Pkwy, Suite 240, New Castle, IN 47362-2943 | 2014-09-04 |
| Find all providers in NEW CASTLE | ||||
| City | NEW CASTLE |
| Zip Code | 47362 |
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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.