MR. JOHN N. BOLL II (NPI# 1073516944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073516944 |
| Entity Type | Individual |
| Full Name | MR. JOHN N. BOLL II |
| Credential | D.O. |
| Practice Address |
740 High St Suite 4001 Williamsport PA 17701-3100 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703212345 |
| Practice Fax Number | 5703212359 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS010395L | PA | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
OS010395L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1026698040001 | 05 | |
| KY | 64052707 | 05 |
| Street Address |
740 HIGH ST SUITE 4001 |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184266918 | Erica Jeanne Ernest | Nurse Practitioner | 740 High St, Suite 1003, Williamsport, PA 17701-3100 | 2019-10-14 |
| 1609339167 | Nicholas Gorski | Student in an Organized Health Care Education/Training Program | 740 High St, Williamsport, PA 17701-3102 | 2019-04-11 |
| 1477046845 | Cameron Glagola | Family Medicine | 740 High St, Williamsport, PA 17701-3102 | 2018-06-11 |
| 1043730229 | Jillian Parsons | Family Medicine | 740 High St, Williamsport, PA 17701-3102 | 2017-06-20 |
| 1376070565 | Veniese Lawrence | Advanced Practice Midwife | 740 High St, Suite 1004, Williamsport, PA 17701-3100 | 2017-05-18 |
| 1205379310 | Sean Vincent O'brien | Physician Assistant | 740 High St, Ste 1003, Williamsport, PA 17701-3100 | 2016-11-21 |
| 1053861138 | Rebecca Rhone | Nurse Practitioner | 740 High St, Suite 2001, Williamsport, PA 17701-3102 | 2016-10-12 |
| 1780132555 | Rebecca Russell | Advanced Practice Midwife | 740 High St, Suite 1004, Williamsport, PA 17701-3102 | 2016-09-21 |
| 1669823100 | Thomas Parrish | Family Medicine | 740 High St, Williamsport, PA 17701-3102 | 2016-06-27 |
| 1942681648 | Rana Kassis | Family Medicine | 740 High St, Suite 4001, Williamsport, PA 17701-3102 | 2015-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540319 | Julianne Barrett | Family Medicine | 740 High St Ste 4001, Williamsport, PA 17701-3111 | 2018-06-05 |
| 1487021127 | Alfred Konopka Bachiller | Family Medicine | 1705 Warren Ave, 303, Williamsport, PA 17701-2665 | 2015-08-28 |
| 1548675770 | Amy Bedient | Family Medicine | 699 Rural Ave Fl Sl-1, Williamsport, PA 17701-3251 | 2014-06-26 |
| 1548607500 | Kate E Skipton | Family Medicine | 699 Rural Avenue, Williamsport, PA 17701 | 2013-05-31 |
| 1821433020 | Larue Everett Pepperman | Family Medicine | 807 Grampian Blvd, Williamsport, PA 17701-1825 | 2013-05-02 |
| 1952409898 | Fairfield Family Practice PC | Family Medicine | 1300 Sheridan Street, Suite 1, Williamsport, PA 17701 | 2006-09-21 |
| 1013024157 | Kathleen Claire Lewis | Family Medicine | 1701 Four Mile Dr, Williamsport, PA 17701-1940 | 2006-08-24 |
| 1508894023 | Karen Jill C Iccarelli | Family Medicine | 16605 Kendle Rd, Williamsport, MD 21795-1614 | 2006-06-30 |
| 1578528865 | Ronald L. Pope | Family Medicine | 435 W 4th St, Williamsport, PA 17701-6001 | 2006-04-19 |
| 1174587570 | Samuel E Schrack, D.o., P.C. | Family Medicine | 520 W 4th St, Suite 1a, Williamsport, PA 17701-6038 | 2006-04-13 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on MR. JOHN N. BOLL II.
| 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.