MRS. MARY BOLAND HAMILTON (NPI# 1043445380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043445380 |
Entity Type | Individual |
Full Name | MRS. MARY BOLAND HAMILTON |
Other Name | MS. MARY ASHLEY BOLAND |
Credential | PA-C |
Practice Address |
80 Humphreys Suite 230 Memphis TN 38117 |
Practice Telephone | 9012592440 |
Practice Fax Number | 2257676721 |
Mailing Telephone | 9012592440 |
Mailing Fax Number | 2257676721 |
Enumeration Date | 2009-05-15 |
Last Update Date | 2019-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 710916908 | 657 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609330661 | Mary Hamilton | Counselor | 1635 E Hwy 50 Ste 209, Clermont, FL 34711-5034 | 2019-01-24 |
1285112961 | Mary Hamilton | Licensed Practical Nurse | 970 Bunker Hill Rd Apt 293, Houston, TX 77024-1307 | 2018-08-03 |
1700177326 | Mary Theresa Hamilton | Developmental Therapist | 934 S Lombard Ave, Lombard, IL 60148-3422 | 2011-04-29 |
1255660528 | Mary Amber Hamilton | Occupational Therapist | 289 Ireland Ave Bldg 851, Work Re-integration and Traumatic Brain Injury Clinic, Fort Knox, KY 40121-5111 | 2009-12-16 |
1861439002 | Mary Pat Hamilton | Emergency Medicine | 1953 Shepherds Store Rd, Bedford, VA 24523-5510 | 2006-05-31 |
1902871320 | Mary Kathryn Hamilton | Psychologist | 4041 Ruston Way Ste 202, Tacoma, WA 98402-5300 | 2006-02-20 |
1609415868 | Mary Hamilton | Speech-Language Pathologist | 3715 W 133rd St, Leawood, KS 66209-3347 | 2020-01-04 |
1538710066 | Mary Katherine Hamilton | Speech-Language Pathologist | 414 Davis St, Elmira, NY 14901-2468 | 2019-09-25 |
1194383620 | Mary Morgan Hamilton | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-05-30 |
1538726245 | Mary Hamilton | Speech-Language Pathologist | 11840 Commonwealth Dr, Louisville, KY 40299-2309 | 2019-05-29 |
Street Address |
80 HUMPHREYS SUITE 230 |
City | MEMPHIS |
State | TN |
Zip Code | 38117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
Find all providers in zip 38117 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821523119 | Benjamin Scott James | Physician Assistant | 109 N Barksdale St, Memphis, TN 38104-7613 | 2017-04-25 |
1184091407 | Melissa Ball Foner | Physician Assistant | 493 Dr Ml King Jr Ave, Memphis, TN 38126-2548 | 2015-08-24 |
1740686302 | Rachel Anna Brownfield | Physician Assistant | 5658 S Rex Rd, Memphis, TN 38119-3822 | 2014-11-10 |
1548418767 | Amy Bolt Miller | Physician Assistant | 5658 S Rex Rd # 200, Memphis, TN 38119-3822 | 2008-08-29 |
1841386182 | Amy Kerns | Physician Assistant | 6063 Mt Moriah Rd Ext Ste 4, Memphis, TN 38115-2665 | 2006-10-05 |
1366467979 | Diane Norrby | Physician Assistant | 3150 Lenox Park Blvd Ste 214, Memphis, TN 38115-4396 | 2006-07-13 |
1659378040 | Matthew Joseph Allman | Physician Assistant | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2005-06-30 |
1548895568 | Sina Nezakat | Physician Assistant | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0809 | 2020-03-10 |
1578197919 | Emma Virginia Cotton | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2020-02-25 |
1043850241 | Sara Beth Brauninger | Physician Assistant | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2020-01-15 |
Find all providers in MEMPHIS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.