Jeffery A Bollenbacher (NPI# 1952458580, PAC ID# 3476658360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1952458580 |
| PAC ID by PECOS | 3476658360 |
| Professional Enrollment ID | I20070423000087 |
| Full Name | Jeffery A Bollenbacher |
| Address |
3903 S 7th St 1a Terre Haute IN 47802-5710 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1987 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150046 | TERRE HAUTE REGIONAL HOSPITAL |
| 151327 | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| 151309 | ST. VINCENT CLAY HOSPITAL INC |
| 141343 | CRAWFORD MEMORIAL HOSPITAL |
| 150023 | UNION HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 3903 S 7th St, 1a, Terre Haute, IN 47802-5710 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Street Address |
3903 S 7TH ST 1A |
| City | TERRE HAUTE |
| State | IN |
| Zip | 47802-5710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Imad George Koj | Internal Medicine | Providence Medical Group, LLC | 3903 S 7th St, 2e, Terre Haute, IN 47802-5710 |
| Fatima Hina | Obstetrics/gynecology | 3903 S 7th St, Suite 2c, Terre Haute, IN 47802-5710 | |
| Rajasekhar Nalluri | Plastic and Reconstructive Surgery | 3903 S 7th St, Suite 1e, Terre Haute, IN 47802-5710 | |
| Shall Sheth | Gastroenterology | Regional Hospital Healthcare Partners LLC | 3903 S 7th St, Suite 2f, Terre Haute, IN 47802-5710 |
| Maranda R Mckinney | Nurse Practitioner | Regional Hospital Healthcare Partners LLC | 3903 S 7th St, 2b Terre Haute Heart Lung Vascular, Terre Haute, IN 47802-5710 |
| Carly Marie Oslin | Optometry | Eye Center LLC | 3903 S 7th St, Terre Haute, IN 47802-5710 |
| Timothy M Bradley | Plastic and Reconstructive Surgery | Regional Hospital Healthcare Partners LLC | 3903 S 7th St, 2f, Terre Haute, IN 47802-5710 |
| Luke G Gutwein | General Surgery | Regional Hospital Healthcare Partners LLC | 3903 S 7th St, 2f, Terre Haute, IN 47802-5710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberli Rae Pepelea | Clinical Social Worker | Life Changes Mental Health and Addictions LLC | 1537 S 7th St, Terre Haute, IN 47802-1610 |
| Wendy K Kennedy | Podiatry | 1543 S 7th St, Terre Haute, IN 47802-1610 | |
| Michael A Toney | Chiropractic | 1815 S 3rd St, Terre Haute, IN 47802-1919 | |
| Christopher S Yamamoto | Chiropractic | 2940 Professional Ln, Terre Haute, IN 47802-3300 | |
| Rhonda West | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St C, Terre Haute, IN 47802-3558 |
| Joseph Y Abdayem | Family Medicine | Providence Medical Group, LLC | 2723 S 7th St L, Terre Haute, IN 47802-3558 |
| Tony K Nasser | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Nawar F Mercho | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Henry Johannes Davis | Rheumatology | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Neil G Kabous | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Find all physicians in zip 47802 | |||
| City | TERRE HAUTE |
| Zip Code | 47802 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | TERRE HAUTE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jeffery A Bollenbacher.
| 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.