SAMANTHA BOLLICH (NPI# 1215359310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215359310 |
| Entity Type | Individual |
| Full Name | SAMANTHA BOLLICH |
| Other Name | SAMANTHA MERRY |
| Credential | CNIM |
| Practice Address |
860654 S 3430 Rd Chandler OK 74834-7078 |
| Practice Telephone | 9792489890 |
| Mailing Telephone | 9792489890 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
CNIM2768 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
860654 S 3430 RD |
| City | CHANDLER |
| State | OK |
| Zip Code | 74834-7078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831757954 | Icare Center Chandler LLC | Family Medicine | 200 Praire Lane, Chandler, OK 74834 | 2019-06-04 |
| 1699283143 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 1116 Monvel Ave., Chandler, OK 74834 | 2018-01-18 |
| 1174995336 | Family Medicine & Urgent Care of Chandler, LLC | Nurse Practitioner | 405 N. Industrial Rd., Chandler, OK 74834 | 2015-10-28 |
| 1437481181 | Laurena Kleckner | Counselor | 112 North Kckinley Avenue, Chandler, OK 74834 | 2010-02-05 |
| 1578750196 | Kaw PC | Dentist | 1516 S Iowa, Chandler, OK 74834 | 2007-09-27 |
| 1457568719 | Oklahoma Mental Health Council | Community/Behavioral Health | 1605 E 1st St., Chandler, OK 74834 | 2007-05-17 |
| 1003038183 | Holly Melissa Shelton | Counselor | 112 N Mckinley, Chandler, OK 74834 | 2007-05-02 |
| 1235359548 | Oklahoma Mental Health Council | Community/Behavioral Health | 112 Mickley N, Chandler, OK 74834 | 2007-04-27 |
| 1215010913 | Daniel Joseph Wilguess | Dentist | 1516 South Iowa, Chandler, OK 74834 | 2006-10-24 |
| 1740394253 | Ashley Farmer | Counselor | 112 N. Mckinley, Chandler, OK 74834 | 2006-08-19 |
| Find all providers in zip 74834 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003399221 | Hannah Elizabeth Allen | Specialist/Technologist, Other | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033649363 | Cortex Neuromonitoring LLC | Specialist/Technologist, Other | 7380 S Olympia Ave, Pmb #301, Tulsa, OK 74132-1849 | 2017-06-19 |
| 1316482284 | Us Neurologic, Pllc | Specialist/Technologist, Other | 3000 W. Memorial Rd., Ste 123-330, Oklahoma City, OK 73120 | 2016-12-30 |
| 1144672445 | Red River Neurodiagnostics, LLC | Specialist/Technologist, Other | 2410 W Memorial Rd Ste C, #609, Oklahoma City, OK 73134-8048 | 2016-07-11 |
| 1841644374 | Neurassure, LLC | Specialist/Technologist, Other | 5830 Nw Expressway # 325, Warr Acres, OK 73132-5239 | 2016-04-21 |
| 1053784934 | Reggie Vulgamore | Specialist/Technologist, Other | 12301 N Mcarthur Blvd Apt 1811, Oklahoma City, OK 73142-3056 | 2015-11-02 |
| 1629457387 | Halstead Monitoring LLC | Specialist/Technologist, Other | 2226 Shadowlake Dr, Oklahoma City, OK 73159-7440 | 2015-05-27 |
| 1972994671 | Parker Professional Reading LLC | Specialist/Technologist, Other | Dept 1137, Tulsa, OK 74182-0001 | 2015-02-17 |
| 1639573140 | Leslie Castro | Specialist/Technologist, Other | 405 E California Ave, Oklahoma City, OK 73104 | 2014-10-13 |
| 1881947596 | Kevin C Farrell | Specialist/Technologist, Other | 4175 S Saint Louis Ave, Tulsa, OK 74105-4013 | 2012-10-18 |
| 1043572407 | Mark Barnes | Specialist/Technologist, Other | 3319 E Gillette St, Broken Arrow, OK 74014-8754 | 2012-06-12 |
| Find all providers with the same taxonomy | ||||
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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.