Tracie L Bolden (NPI# 1467656413, PAC ID# 0547310922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1467656413 |
| PAC ID by PECOS | 0547310922 |
| Professional Enrollment ID | I20090604000597 |
| Full Name | Tracie L Bolden |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Address |
2510 Commons Blvd Suite 160 Beavercreek OH 45431-3834 |
| Phone Number | 9374338060 |
| Gender | F |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0840104360 |
| Number of Group Practice Members | 574 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360360 | SOIN MEDICAL CENTER |
| 360026 | GREENE MEMORIAL HOSPITAL |
| 360051 | MIAMI VALLEY HOSPITAL |
| 360079 | KETTERING MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2510 Commons Blvd, Suite 160, Beavercreek, OH 45431-3834 | 9374338060 | ALLIANCE PHYSICIANS INC |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Physicians | 760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katresha Janiece Williams-ellington | Nurse Practitioner | Alliance Physicians Inc | 3300 Philadelphia Dr, Dayton, OH 45405-1919 |
| Rebecca Anne Reynolds | Nurse Practitioner | Alliance Physicians Inc | 2141 N Fairfield Rd B, Beavercreek, OH 45431-2579 |
| Whitney Nicole Clark | Certified Nurse Midwife (cnm) | Alliance Physicians Inc | 50 N Progress Dr, Xenia, OH 45385-2666 |
| Akil P. Patel | Neurosurgery | Alliance Physicians Inc | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 |
| Charles William Oberer | Gastroenterology | Alliance Physicians Inc | 3359 Kemp Rd, Suite 100, Beavercreek, OH 45431-4204 |
| Rebecca Yeager | Family Medicine | Alliance Physicians Inc | 2145 N Fairfield Rd, Suite 100, Beavercreek, OH 45431-2580 |
| Jennifer Martin | Family Medicine | Alliance Physicians Inc | 825 N Main St, Suite 140, Springboro, OH 45066-1503 |
| Stefanie Kristine Lewis | Family Medicine | Alliance Physicians Inc | 1045 Channingway Dr, Fairborn, OH 45324-9252 |
| Angela A Adams-harrison | Family Medicine | Alliance Physicians Inc | 415 Byers Rd, Suite 300, Miamisburg, OH 45342-3684 |
| Michelle Bizzarro | Nurse Practitioner | Alliance Physicians Inc | 3371 Kemp Rd, Beavercreek, OH 45431-2514 |
| Street Address |
2510 COMMONS BLVD SUITE 160 |
| City | BEAVERCREEK |
| State | OH |
| Zip | 45431-3834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha Elizabeth Girolamo | Nurse Practitioner | Dayton Center for Neurological Disorders Inc | 2510 Commons Blvd, Suite 276, Beavercreek, OH 45431-3820 |
| Teresa D Ditmer | Certified Clinical Nurse Specialist (cns) | Specialty Medicine Care LLC | 2510 Commons Blvd, Suite 230, Beavercreek, OH 45431-3837 |
| Sheryl Lynn Spires | Nurse Practitioner | Internal Medicine Care, Inc | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3821 |
| Yolonda M Kelly | Nurse Practitioner | Alliance Physicians Inc | 2510 Commons Blvd, Suite 160, Beavercreek, OH 45431-3834 |
| Jennifer Marie Shears | Nurse Practitioner | Alliance Physicians Inc | 2510 Commons Blvd, Beavercreek, OH 45431-3821 |
| Judith Ann Oconnell | Osteopathic Manipulative Medicine | Pain Alternatives, Inc. | 2510 Commons Blvd, Suite 240, Beavercreek, OH 45431-3820 |
| Dino Cono Morello | Family Medicine | Alliance Physicians Inc | 2510 Commons Blvd, Suite 160, Beavercreek, OH 45431-3834 |
| Eric James Yoon | Nurse Practitioner | Internal Medicine Care, Inc | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3821 |
| Raenell J Poynter | Nurse Practitioner | Alliance Physicians Inc | 2510 Commons Blvd, Suite 110, Beavercreek, OH 45431-3821 |
| Sharon Elizabeth Rodgers | Nurse Practitioner | Family Medicine Care, LLC | 2510 Commons Blvd, Suite 220, Beavercreek, OH 45431-3821 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Thomas Daubenspeck | Chiropractic | 4141 Colonel Glenn Hwy, Suite 151, Beavercreek Township, OH 45431-1662 | |
| Paul A Speros | Optometry | 3360 Pentagon Blvd, Beavercreek, OH 45431-1702 | |
| Ananth Annamraju | Urology | Springfield Urology LLC | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Lisa Renee Vantrease | Family Medicine | Alliance Physicians Inc | 3525 Pentagon Blvd, Suite 101, Beavercreek, OH 45431-1705 |
| Patrick S Bendel | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Laura A Busteed | Nurse Practitioner | Alliance Physicians Inc | 3535 Pentagon Blvd, Suite 320, Beavercreek, OH 45431-1705 |
| Brent Alan Ferroni | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Roy W Haines | Anesthesiology | Kettering Anesthesia Associates, Inc | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| David R Grigg | Anesthesiology | Kettering Anesthesia Associates, Inc | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Amol Soin | Pain Management | Ohio Pain Clinic LLC | 3535 Pentagon Blvd, Suite 210, Beavercreek, OH 45431-1705 |
| Find all physicians in zip 45431 | |||
| City | BEAVERCREEK |
| Zip Code | 45431 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BEAVERCREEK + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Tracie L Bolden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.