ROBERTA AMBER BOLITHO (NPI# 1386086502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386086502 |
| Entity Type | Individual |
| Full Name | ROBERTA AMBER BOLITHO |
| Credential | CST |
| Practice Address |
1000 W 140th St Suite 201 Burnsville MN 55337-4480 |
| Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
| Practice Telephone | 9528083000 |
| Practice Fax Number | 9528083001 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125651 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1000 W 140TH ST SUITE 201 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-4480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780642082 | Geoffrey J Theobald | Physician Assistant | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2006-05-03 |
| 1689151185 | Jay Vincent Ellerbusch | Physical Therapist | 1000 W 140th St, Burnsville, MN 55337-4480 | 2018-07-26 |
| 1902359219 | Megan M Dean | Physical Therapist | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2016-08-03 |
| 1508233230 | Jennifer Lauren Smidl | Physical Therapist | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2015-08-28 |
| 1609260579 | Jason Arthur Johnson | Physician Assistant | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2015-03-27 |
| 1376931527 | Michael Allen Steiner | Physical Therapist | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2014-12-22 |
| 1417376856 | Alyssa Meredith Hardy | Occupational Therapist | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2014-04-14 |
| 1326462607 | Lindsey Jaine Anderson | Physician Assistant | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2014-02-07 |
| 1093142473 | Joshua John Bennington | Physician Assistant | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2013-10-01 |
| 1841626827 | Ashley Marie Meyer | Physician Assistant | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2013-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316969413 | Casey Frances Mcafee | Specialist/Technologist, Other | 1000 W 140th Street, Suite 201, Burnsville, MN 55337 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700117207 | Kristi Laine Kornder | Specialist/Technologist, Other | 1601 St Francis Ave, Shakopee, MN 55379 | 2010-01-22 |
| 1518019389 | Kathleen Gail Rajek | Specialist/Technologist, Other | 6405 France Ave S Ste W400, Edina, MN 55435-2192 | 2007-01-18 |
| 1699882548 | Metro First Assistants, Inc. | Specialist/Technologist, Other | 5130 Holly Ln N Unit 3, Plymouth, MN 55446-1773 | 2006-08-24 |
| 1578580643 | Lu Ann Runkle | Specialist/Technologist, Other | 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 | 2006-07-16 |
| 1376529149 | Benjamin N Quintero | Specialist/Technologist, Other | 4305 Dunrovin Ln, Eagan, MN 55123-1760 | 2005-12-22 |
| 1588646970 | Bruce Edward Hertzenberg | Specialist/Technologist, Other | 5130 Holly Ln N, #3, Plymouth, MN 55446-1772 | 2005-11-19 |
| 1902396799 | Kristi Ann Gingras | Specialist/Technologist, Other | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2018-05-16 |
| 1164852554 | Sara Mary Fatland | Specialist/Technologist, Other | 4010 W 65th St, Edina, MN 55435-1706 | 2013-11-21 |
| 1063656452 | Crystal Ann Malm | Specialist/Technologist, Other | 6545 France Ave S, Suite 160, Edina, MN 55435-2131 | 2009-04-29 |
| 1538311105 | Diane Carol Kaus | Specialist/Technologist, Other | 7373 France Ave S, Suite 312, Edina, MN 55435-4534 | 2008-10-15 |
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| City | BURNSVILLE |
| Zip Code | 55337 |
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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.