ELIA BOLES (NPI# 1407302847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407302847 |
Entity Type | Individual |
Full Name | ELIA BOLES |
Practice Address |
Carilion Clinic Roanoke Memorial Hospital 1906 Belleview Ave Roanoke VA 24014 |
Mailing Address |
6736 Mallard Lake Dr Roanoke VA 24018-6931 |
Practice Telephone | 5409817000 |
Mailing Telephone | 5408551169 |
Enumeration Date | 2016-08-26 |
Last Update Date | 2016-08-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 0116029797 | VA | Allopathic & Osteopathic Physicians |
Street Address |
CARILION CLINIC ROANOKE MEMORIAL HOSPITAL 1906 BELLEVIEW AVE, |
City | ROANOKE |
State | VA |
Zip Code | 24014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
Find all providers in zip 24014 |
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 |
---|---|---|---|---|
1366715070 | Paul Elwood Bowles | Pediatrics | 5508 Village Drive, Roanoke, VA 24018-8773 | 2012-02-13 |
1881867646 | Silvia Natalia Jaimes Ocazionez | Pediatrics | 1030 S Jefferson St Ste 106, Roanoke, VA 24016-4418 | 2008-04-11 |
1508078635 | Nadia Gaafar Gard | Pediatrics | 4910 Valley View Blvd N W, Suite 310, Roanoke, VA 24012 | 2007-05-03 |
1497711345 | Theresa Ann Mutzig-erwin | Pediatrics | 516 E Byron Nelson Blvd, Roanoke, TX 76262-6295 | 2006-04-20 |
1922071869 | Arthur Kunkle | Pediatrics | 89 Summers Way, Roanoke, VA 24019-8291 | 2006-02-10 |
1942272273 | Mandy Atkinson | Pediatrics | 1906 Belleview Ave, Roanoke, VA 24014 | 2006-02-02 |
1548241086 | Maria R Soriano | Pediatrics | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2005-11-10 |
1700877404 | Floyd Randell Burton | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013-2218 | 2005-11-02 |
1508864638 | Alise Magnuson | Pediatrics | 4615 Huntridge Rd, Roanoke, VA 24012-8510 | 2005-07-12 |
1275536831 | Mark Kenneth Patterson | Pediatrics | 4040 Postal Dr, Roanoke, VA 24018-6438 | 2005-05-27 |
Find all providers in ROANOKE |
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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.