J. Blake Bolin (NPI# 1174563043, PAC ID# 8921177221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174563043 |
| PAC ID by PECOS | 8921177221 |
| Professional Enrollment ID | I20080513000142 |
| Full Name | J. Blake Bolin |
| Address |
3550 Parkwood Blvd Suite 405 Frisco TX 75034-1905 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450771 | TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO |
| 450651 | MEDICAL CITY PLANO |
| Address | Phone | Organization |
|---|---|---|
| 3550 Parkwood Blvd, Suite 405, Frisco, TX 75034-1905 |
| Street Address |
3550 PARKWOOD BLVD SUITE 405 |
| City | FRISCO |
| State | TX |
| Zip | 75034-1905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig S Neleson | Pain Management | 3550 Parkwood Blvd, Suite 306, Frisco, TX 75034-1905 | |
| Beverly B Johnson | Physician Assistant | Kathryn J. Wood, M.d., Pa | 3550 Parkwood Blvd, Suite 205, Frisco, TX 75034-1904 |
| Kathryn J Wood | Obstetrics/gynecology | Kathryn J. Wood, M.d., Pa | 3550 Parkwood Blvd, Suite 205, Frisco, TX 75034-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vicki A Blackmon-davis | Internal Medicine | 8680 E Main St, Suite 1w, Frisco, TX 75034 | |
| Gina Rivas | Physician Assistant | Hip and Joint Specialists of North Texas Pllc | 255 W Lebanon Rd, Suite 132, Frisco, TX 75034 |
| Martha R Alkire | Nurse Practitioner | Hip and Joint Specialists of North Texas Pllc | 255 W Lebanon Rd, Suite 132, Frisco, TX 75034 |
| Jeanne Hatcher Curtis | Psychologist, Clinical | 5850 Town and Country Blvd, Suite 1001, Frisco, TX 75034-0304 | |
| Randy Niblett | Diagnostic Radiology | Imaging Associates of Indiana PC | 6761 Pecan Chase Ln, Frisco, TX 75034-0726 |
| Richard A Sylvester | Optometry | 4300 Legacy Dr, Suite 105, Frisco, TX 75034-0800 | |
| Mee Ok Kim | Nurse Practitioner | 4112 Legacy Dr, Suite 326, Frisco, TX 75034-0811 | |
| Theodore Maltezos | Chiropractic | 4851 Legacy Dr, Suite 307, Frisco, TX 75034-0853 | |
| Samuel Lewis | Nuclear Medicine | Samuel Lewis Md Pa | 11335 Altamont Dr, Frisco, TX 75034-1182 |
| Obiora M Ekweani | Internal Medicine | 3220 Parkwood Blvd, Frisco, TX 75034-1917 | |
| Find all physicians in zip 75034 | |||
| City | FRISCO |
| Zip Code | 75034 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FRISCO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on J. Blake Bolin.
| 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.