KRISTA D BOLANGER (NPI# 1073651337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073651337 |
| Entity Type | Individual |
| Full Name | KRISTA D BOLANGER |
| Credential | PA |
| Practice Address |
9000 N Main St Suite 227 Dayton OH 45415-1180 |
| Practice Telephone | 9378324773 |
| Practice Fax Number | 9378322986 |
| Mailing Telephone | 9378324773 |
| Mailing Fax Number | 9378322986 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50 002179 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0067813 | 05 |
| Street Address |
9000 N MAIN ST SUITE 227 |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425443 | Abdelhamed I Abdelhamed | Internal Medicine | 9000 N Main St, Ste 101, Dayton, OH 45415-1180 | 2005-05-31 |
| 1952893299 | Alan Ayette | Pharmacy | 9000 N Main St, Mvhn Inpatient Pharmacy, Dayton, OH 45415 | 2018-06-02 |
| 1689165896 | Bonnie Homan Tangeman | Pharmacist | 9000 N Main St, Dayton, OH 45415-1180 | 2018-05-23 |
| 1275022709 | Karen Ann Hartman | Pharmacist | 9000 N Main St, Retail Pharmacy, Dayton, OH 45415 | 2018-05-10 |
| 1699177329 | Christopher Groff | Physician Assistant | 9000 N Main St, Ste 227, Dayton, OH 45415-1180 | 2014-09-25 |
| 1609297134 | Pfdental Reddy Inc | Dentist | 9000 N Main St, Ste 207, Dayton, OH 45415-1180 | 2013-12-31 |
| 1497190029 | Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | 9000 N Main St, Suite 203, Dayton, OH 45415-1180 | 2013-05-09 |
| 1518209618 | Samaritan Family Care Inc | Family Medicine | 9000 N Main St, Ste 238, Dayton, OH 45415-1180 | 2013-03-27 |
| 1912246034 | Samaritan Family Care, Inc | Surgery | 9000 N Main St, Dayton, OH 45415-1180 | 2013-02-08 |
| 1013272616 | Carla Renee King | Advanced Practice Midwife | 9000 N Main St, Suite 232, Dayton, OH 45415-1180 | 2012-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558668780 | Adam Joseph Thomas | Physician Assistant | 1 Elizabeth Pl Bldg G, Dayton, OH 45417-3445 | 2011-02-24 |
| 1790011724 | Andrew P Black | Physician Assistant | 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 | 2009-10-27 |
| 1487722526 | Nancy Moyer Solada | Physician Assistant | 1989 Miamisburg Centerville Rd Ste 201, Dayton, OH 45459-3858 | 2006-11-30 |
| 1467417386 | James D. Welsh | Physician Assistant | 1427 Business Center Ct, Dayton, OH 45410-3300 | 2006-04-20 |
| 1417937558 | Anthony S Allen | Physician Assistant | 5 Pine Cone Rd, Suite 102, Dayton, NV 89403-7393 | 2006-01-17 |
| 1558353904 | Douglas Eulberg | Physician Assistant | 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1323 | 2005-08-19 |
| 1730791146 | Shannon Hayes | Physician Assistant | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2020-08-18 |
| 1164052395 | Andrew Conroy | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-01-15 |
| 1396307138 | Aleesha Mae Schafers | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-07-02 |
| 1073079190 | Mckenzie Wheeler | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-02-13 |
| Find all providers in DAYTON | ||||
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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.