Thomas Bolt (NPI# 1639136377, PAC ID# 2365337326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639136377 |
| PAC ID by PECOS | 2365337326 |
| Professional Enrollment ID | I20061005000460 |
| Full Name | Thomas Bolt |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Address |
9313 Medical Plaza Dr Suite 202 North Charleston SC 29406-9176 |
| Phone Number | 8436956071 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880508068 |
| Number of Group Practice Members | 133 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| 420004 | MUSC MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5325 Appian Way, Charleston, SC 29420-7234 | 8436956071 | PALMETTO PRIMARY CARE PHYSICIANS |
| 9313 Medical Plaza Dr, Suite 202, North Charleston, SC 29406-9176 | 8436956071 | PALMETTO PRIMARY CARE PHYSICIANS |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Phillips | Nurse Practitioner | Palmetto Primary Care Physicians | 7 S Alliance Dr, Suite 211b, Goose Creek, SC 29445-7269 |
| Lori M Roses | Qualified Audiologist | Palmetto Primary Care Physicians | 3495 Iron Horse Rd, Ladson, SC 29456-4319 |
| Kori A Frank | Nurse Practitioner | Palmetto Primary Care Physicians | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Jillian Clesi | Physician Assistant | Palmetto Primary Care Physicians | 5325 Appian Way, Charleston, SC 29420-7234 |
| Lynn Ann Leclerc | Nurse Practitioner | Palmetto Primary Care Physicians | 113 Willbrook Blvd, Unit F, Pawleys Island, SC 29585-8245 |
| Candice Alise Jones | Nurse Practitioner | Palmetto Primary Care Physicians | 809 N Cedar St, Summerville, SC 29483-6605 |
| Cielita K Halyard | Nurse Practitioner | Palmetto Primary Care Physicians | 119 Springhall Dr, Goose Creek, SC 29445-5368 |
| Reid D Castellone | Family Medicine | Palmetto Primary Care Physicians | 213 W 4th N St, Summerville, SC 29483-6541 |
| Jennifer R Stolin | Family Medicine | Palmetto Primary Care Physicians | 110 Springhall Dr, Suite B, Goose Creek, SC 29445-5335 |
| Street Address |
9313 MEDICAL PLAZA DR SUITE 202 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip | 29406-9176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy R Watson | Certified Registered Nurse Anesthetist (crna) | Trident Anesthesia Group LLC | 9313 Medical Plaza Dr, Suite 102, Charleston, SC 29406-9153 |
| Beth Damato | Nurse Practitioner | Coastal Carolina Multispecialty Associates LLC | 9313 Medical Plaza Dr, Charleston, SC 29406-9155 |
| Brian D Dewhirst | Family Medicine | Palmetto Primary Care Physicians | 9313 Medical Plaza Dr, Suite 202, North Charleston, SC 29406-9176 |
| Ruth Baldwin | Certified Registered Nurse Anesthetist (crna) | Trident Anesthesia Group LLC | 9313 Medical Plaza Dr, Suite 102, Charleston, SC 29406-9153 |
| Erin K Godin | Nurse Practitioner | Palmetto Primary Care Physicians | 9313 Medical Plaza Dr, Suite 202, North Charleston, SC 29406-9176 |
| Heather James Schwartz | Nurse Practitioner | Joseph M Still Burn Centers Inc | 9313 Medical Plaza Dr, Suite 102, Charleston, SC 29406-9153 |
| Elizabeth F Kekacs | Nurse Practitioner | Palmetto Primary Care Physicians | 9313 Medical Plaza Dr, Suite 202, North Charleston, SC 29406-9176 |
| Thomas Brantley Arnau | Family Medicine | Palmetto Primary Care Physicians | 9313 Medical Plaza Dr, Suite 202, North Charleston, SC 29406-9176 |
| Stanley D Woerth | Anesthesiology | Trident Anesthesia Group LLC | 9313 Medical Plaza Dr, Suite 102, Charleston, SC 29406-9153 |
| Laura A Foster | Nurse Practitioner | Palmetto Primary Care Physicians | 9313 Medical Plaza Dr, Suite 202, North Charleston, SC 29406-9176 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
| Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
| Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
| Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
| Find all physicians in zip 29406 | |||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTH CHARLESTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas Bolt.
| 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.