DR. MARK G BOLES (NPI# 1164548020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164548020 |
| Entity Type | Individual |
| Full Name | DR. MARK G BOLES |
| Credential | MD |
| Practice Address |
1112 Fells Church Rd Belle Vernon PA 15012 |
| Mailing Address |
112 Fells Church Rd Belle Vernon PA 15012 |
| Practice Telephone | 7243796160 |
| Practice Fax Number | 7243797203 |
| Mailing Telephone | 7243796160 |
| Mailing Fax Number | 7243797203 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 209588-1 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | DM 13761-2 | PR | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MD041044L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225598931 | Mark Boles | Physical Therapist | 329 Nc Highway 801 N, Bermuda Run, NC 27006-7905 | 2019-03-20 |
| 1417969205 | Mark Leonard Boles | Obstetrics & Gynecology | 2400 Bellevue Rd, Erin Office Park # 23, Dublin, GA 31021-2885 | 2006-08-12 |
| 1235129388 | Mark Alan Boles | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2005-10-28 |
| Street Address |
1112 FELLS CHURCH RD |
| City | BELLE VERNON |
| State | PA |
| Zip Code | 15012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851714950 | Edison Health P.C. | Pain Medicine | 1112 Fells Church Rd, Belle Vernon, PA 15012-4713 | 2014-01-24 |
| 1013339530 | Edison Health P.C. | Chiropractor | 1112 Fells Church Rd, Belle Vernon, PA 15012-4713 | 2014-01-17 |
| 1588920755 | Dme 4 U LLC | Durable Medical Equipment & Medical Supplies | 1112 Fells Church Rd, Belle Vernon, PA 15012-4713 | 2012-04-02 |
| 1104140789 | Pittsburgh Healthworx, P.C. | Specialist | 1112 Fells Church Rd, Belle Vernon, PA 15012-4713 | 2010-03-25 |
| 1497080782 | Edward W Sweeney | Internal Medicine | 1112 Fells Church Rd, Belle Vernon, PA 15012-4713 | 2009-10-05 |
| 1396967949 | Jack R Taylor | Chiropractor | 1112 Fells Church Rd, Belle Vernon, PA 15012-4713 | 2007-05-03 |
| 1124240692 | Pittsburgh Healthworx, P.C. | Chiropractor | 1112 Fells Church Rd, Belle Vernon, PA 15012-4713 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023664174 | Karen A Perry | Technician | 209 Pleasant Valley Blvd, Rostraver Twp, PA 15012 | 2019-08-14 |
| 1033520226 | Shane Patrick Hennessy | Family Medicine | 800 Plaza Dr Ste 400, Belle Vernon, PA 15012 | 2014-05-11 |
| 1427393008 | Kim Pierce | Dietitian, Registered | 810 Morgan St, Belle Vernon, PA 15012 | 2012-12-07 |
| 1639487671 | Kara M Haupricht | Physician Assistant | 860 Rostraver Road, Belle Vernon, PA 15012 | 2010-09-23 |
| 1538398755 | Spencer Miller | Hearing Instrument Specialist | 29 Fayette Street, Belle Vernon, PA 15012 | 2009-07-09 |
| 1972760957 | Mark Current | Pharmacist | 843 Rostraver Rd, Rite Aid #10891, Belle Vernon, PA 15012 | 2008-05-19 |
| 1568683134 | Donald Edward Rowe | Chiropractor | 139 Valley View Drive, Belle Vernon, PA 15012 | 2007-05-01 |
| 1023234127 | John A Marino | Chiropractor | 1112 Fells Church Road, Belle Vernon, PA 15012 | 2007-04-17 |
| 1861516635 | Julie Myers | Specialist | 800 Willow Drive, Ste 100, Willowpointe Plaza, Belle Vernon, PA 15012 | 2007-03-19 |
| 1790842300 | Melissa Marie Brooks | Physical Therapist | 812 Broad Avenue, Belle Vernon, PA 15012 | 2007-01-02 |
| Find all providers in zip 15012 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457313165 | Dawn R Mccracken | Pediatrics | 800 Plaza Dr, Suite 280, Belle Vernon, PA 15012-4019 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 1972138204 | Margarita Bello | Pediatrics | 448 Walton Ave Unit 217, Hummelstown, PA 17036-4010 | 2020-03-06 |
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1164069241 | Ayala Laufer-cahana | Pediatrics | 647 Montgomery School Ln, Wynnewood, PA 19096-1013 | 2019-12-08 |
| 1023652708 | Pediatric Care Group, P.C. | Pediatrics | 890 2nd Street Pike Ste 904, Richboro, PA 18954-1021 | 2019-11-05 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1003462797 | Lucyndia Rose Marino | Pediatrics | 130 Classic Ln, New Castle, PA 16105-5304 | 2019-08-18 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | BELLE VERNON |
| Zip Code | 15012 |
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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.