Jeffrey P Bolduan (NPI# 1831278027, PAC ID# 1951473008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1831278027 |
| PAC ID by PECOS | 1951473008 |
| Professional Enrollment ID | I20080707000164 |
| Full Name | Jeffrey P Bolduan |
| Address |
1615 Winsted Dr Suite 4 Goshen IN 46526-4673 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | UROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150026 | GOSHEN HOSPITAL |
| 150133 | KOSCIUSKO COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1615 Winsted Dr, Suite 4, Goshen, IN 46526-4673 | ||
| 1000 Med Park Dr, Warsaw, IN 46580-3369 |
| Street Address |
1615 WINSTED DR SUITE 4 |
| City | GOSHEN |
| State | IN |
| Zip | 46526-4673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda Linville | Nurse Practitioner | Goshen Health System Inc | 1615 Winsted Dr, Suite 1, Goshen, IN 46526-4673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane Cook | Family Medicine | 2606 Peddlers Village Rd, Suite 200, Goshen, IN 46526-1004 | |
| Leah Renee Miller | Nurse Practitioner | Goshen Health System Inc | 2832 Elkhart Rd, Goshen, IN 46526-1014 |
| Lisa A Orn | Family Medicine | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Kristina M Jackowiak | Physician Assistant | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Christina L Haimes | Family Medicine | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Catherine Dos Santos | Nurse Practitioner | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Jeffrey Alan Eck | Family Medicine | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| David C Kay | Internal Medicine | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Nicole Greenlee | Nurse Practitioner | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Laura J Wheeler | Nurse Practitioner | Goshen Health System Inc | 2824 Elkhart Rd, Goshen, IN 46526-1014 |
| Find all physicians in zip 46526 | |||
| City | GOSHEN |
| Zip Code | 46526 |
| Specialty | UROLOGY |
| City + Specialty | GOSHEN + UROLOGY |
Please comment or provide details below to improve the information on Jeffrey P Bolduan.
| 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.