KEITH BRIAN BOLYARD (NPI# 1174733794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174733794 |
| Entity Type | Individual |
| Full Name | KEITH BRIAN BOLYARD |
| Credential | RPH |
| Practice Address |
5500 Armstrong Rd Battle Creek MI 49015-1014 |
| Mailing Address |
195 19th St Otsego MI 49078-9679 |
| Practice Telephone | 2699665600 |
| Practice Fax Number | 2692235519 |
| Mailing Telephone | 2699665600 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302027936 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356319123 | Keith J Bolyard | Orthopaedic Surgery | 3501 W. E. Knight Drive, Fort Smith, AR 72903-7994 | 2006-03-09 |
| Street Address |
5500 ARMSTRONG RD |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49015-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641892 | Shelley L Freimark | Physical Medicine & Rehabilitation | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2005-06-30 |
| 1912504184 | Nicholas Lee Service | Social Worker | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2020-10-01 |
| 1144838244 | Michael Wyman | Pharmacist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2020-07-15 |
| 1629695937 | Taylor Marie Roberts | Pharmacist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2020-07-02 |
| 1760008726 | Mary Ellen Stoll | Optometrist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2020-06-24 |
| 1275159246 | Olivia Michelle Marineau | Optometrist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2020-06-24 |
| 1043841729 | Gail Lowe | Registered Nurse | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2020-01-30 |
| 1982246435 | Christina Marie Carbone | Psychologist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2019-10-16 |
| 1558902312 | Ashley Ellen Cleasby | Pharmacist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2019-10-03 |
| 1497306799 | Ashlee Warnecke | Psychologist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669020897 | Marcia Diane Alvarez | Technician | 515 Country Club Blvd, Battle Creek, MI 49015 | 2019-08-30 |
| 1508382540 | Ariel Lynn Jurban | Social Worker | 778 West Columbia Avenue, Battle Creek, MI 49015 | 2017-08-22 |
| 1780139543 | Cardiovascular Ultrasound Solutions, LLC | Spec/Tech, Cardiovascular | 77 South 20th Street, Cardio Suite, Battle Creek, MI 49015 | 2016-08-22 |
| 1487006953 | Ryan Lash | Hearing Instrument Specialist | 5475 Beckley Rd Suite 150, Battle Creek, MI 49015 | 2016-07-08 |
| 1962867150 | Lee Taylor Kuhn | Social Worker | 778 W. Columbia Ave, Battle Creek, MI 49015 | 2015-12-15 |
| 1306212022 | Teresa Wagner | Licensed Practical Nurse | 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 | 2015-08-17 |
| 1194101311 | Brittany Rene Kruger | Legal Medicine | 75 Mines Creek Pl, Battle Creek, MI 49015 | 2015-08-11 |
| 1164807103 | Timothy Meyer | Social Worker | 778 W Columbia Ave, Battle Creek, MI 49015 | 2015-07-20 |
| 1932534872 | Meggan Rae Volz | Physician Assistant | 5332 Beckly Road, Battle Creek, MI 49015 | 2013-09-11 |
| 1578902235 | Luiz Fernando Pantalena | Dentist | 2245 W. Columbia Ave, Suite 101, Battle Creek, MI 49015 | 2013-06-17 |
| Find all providers in zip 49015 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720557077 | Serge Moluh | Pharmacist | 30 Columbia Ave E Ste A, Battle Creek, MI 49015-3737 | 2018-11-15 |
| 1043567381 | Dilipkumar S Patel | Pharmacist | 30 Columbia Ave E, Battle Creek, MI 49015-3737 | 2012-08-06 |
| 1841574142 | Kent A Mercer | Pharmacist | 45 E Columbia Ave, Battle Creek, MI 49015-3703 | 2011-10-05 |
| 1528340205 | Todd Michael Ehlert | Pharmacist | 800 Capital Ave Ne, Battle Creek, MI 49017-5604 | 2011-09-19 |
| 1194007740 | William Plemmons | Pharmacist | 10 Columbia Ave E, Battle Creek, MI 49015-3704 | 2011-09-09 |
| 1023399243 | Jessica Lynn Sawyers | Pharmacist | 5500 Armstrong Rd (119a), Battle Creek, MI 49037 | 2011-09-01 |
| 1679872865 | Uma Valli Mudunuri | Pharmacist | 30 E Columbia Ave, Battle Creek, MI 49015-3737 | 2011-03-28 |
| 1912229170 | Brent M Jones | Pharmacist | 200 Capital Ave Sw, Suite 200, Battle Creek, MI 49037-8665 | 2010-02-15 |
| 1528298114 | Catherine Gilmore | Pharmacist | 5500 Armstrong Rd # 119a, Battle Creek, MI 49037-7314 | 2009-07-17 |
| 1114157872 | Anna Grace D'amico | Pharmacist | 890 Michigan Ave E, Battle Creek, MI 49014-6292 | 2009-07-15 |
| Find all providers in BATTLE CREEK | ||||
| City | BATTLE CREEK |
| Zip Code | 49015 |
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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.