Alex R Boller (NPI# 1568449205, PAC ID# 6305892746) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568449205 |
| PAC ID by PECOS | 6305892746 |
| Professional Enrollment ID | I20050329000433 |
| Full Name | Alex R Boller |
| Organization Legal Name | ESOPUS MEDICAL, PC |
| Address |
359 Gibson Hill Rd Chester NY 10918-2321 |
| Phone Number | 8456587763 |
| Gender | M |
| Credential | PA |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254304074 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330126 | ORANGE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 359 Gibson Hill Rd, Chester, NY 10918-2321 | 8456587763 | ESOPUS MEDICAL, PC |
| 10 Hellbrook Ln, Ulster Park, NY 12487-5209 | 8456587763 | ESOPUS MEDICAL, PC |
| Organization Legal Name | ESOPUS MEDICAL, PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amelia Lisa Maas | Family Medicine | Esopus Medical, PC | 2255 Platte Clove Rd, Elka Park, NY 12427-9704 |
| Jacob H Hofer | Family Medicine | Esopus Medical, PC | 359 Gibson Hill Rd, Chester, NY 10918-2321 |
| Christa M Ebong | Physician Assistant | Esopus Medical, PC | 1001 Broadway, Esopus, NY 12429-2500 |
| Johann Arnold | Physician Assistant | Esopus Medical, PC | 10 Hellbrook Ln, Ulster Park, NY 12487-5209 |
| Monika Mommsen | Family Medicine | Esopus Medical, PC | 2032 Rt, Suite 213, Rifton, NY 12471-0903 |
| Sharon R Wipf | Family Medicine | Esopus Medical, PC | 2255 Platte Clove Rd, Elka Park, NY 12427-9704 |
| Christopher Michael Maendel | Family Medicine | Esopus Medical, PC | 1001 Broadway, Esopus, NY 12429-2500 |
| Sara Jessie Thomson | Certified Nurse Midwife (cnm) | Esopus Medical, PC | 2255 Platte Clove Rd, Elka Park, NY 12427-9704 |
| Reuben Zimmerman | Physician Assistant | Esopus Medical, PC | 1001 Broadway, Esopus, NY 12429-2500 |
| Nathan H Maendel | Physician Assistant | Esopus Medical, PC | 10 Hellbrook Ln, Ulster Park, NY 12487-5209 |
| Street Address |
359 GIBSON HILL RD |
| City | CHESTER |
| State | NY |
| Zip | 10918-2321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob H Hofer | Family Medicine | Esopus Medical, PC | 359 Gibson Hill Rd, Chester, NY 10918-2321 |
| Anneke S Maendel | Family Medicine | Esopus Medical, PC | 359 Gibson Hill Rd, Chester, NY 10918-2321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Littlejohn Ii | Chiropractic | 7 Academy Ave, Chester, NY 10918-1041 | |
| Linden J Schild | Psychiatry | 20 W Ave, Suite 103, Chester, NY 10918-1053 | |
| Arthur J Donohue | Chiropractic | 20 W Ave, Suite 102, Chester, NY 10918-1053 | |
| Perla J Andin | Internal Medicine | Horizon Medical Group PC | 1460 State Route 17m B, Chester, NY 10918-1054 |
| William Lee | Cardiovascular Disease (cardiology) | Hudson Valley Cardiovascular Practice PC | 1460 State Route 17m, Chester, NY 10918-1054 |
| Anne R Mullin | Internal Medicine | Horizon Medical Group PC | 1460 State Route 17m B, Chester, NY 10918-1054 |
| Sergio H Obligado | Nephrology | Horizon Medical Group PC | 1460 State Route 17m B, Chester, NY 10918-1054 |
| Bonnie A Muller | Family Medicine | Horizon Medical Group PC | 1460 State Route 17m B, Chester, NY 10918-1054 |
| Susan M Jensen | Internal Medicine | Horizon Medical Group PC | 1460 State Route 17m B, Chester, NY 10918-1054 |
| Rachel F Colvin | Nephrology | Horizon Medical Group PC | 1460 State Route 17m B, Chester, NY 10918-1054 |
| Find all physicians in zip 10918 | |||
| City | CHESTER |
| Zip Code | 10918 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHESTER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Alex R Boller.
| 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.