MRS. MARY BOLAND HAMILTON


Address: 80 Humphreys Suite 230, Memphis, TN 38117
Phone: 9012592440

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 710916908 657 01

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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
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Office Location

Street Address 80 HUMPHREYS SUITE 230
City MEMPHIS
State TN
Zip Code 38117

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MEMPHIS
Zip Code 38117

Improve Information

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Dataset Information

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.

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