ALEXANDER M BOLLIS


Address: 5551 Winghaven Blvd, Suite 132, O Fallon, MO 63368-3617
Phone: 6366952514

ALEXANDER M BOLLIS (NPI# 1558309757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558309757
Entity Type Individual
Full Name ALEXANDER M BOLLIS
Credential M.D.
Practice Address 5551 Winghaven Blvd
Suite 132
O Fallon
MO 63368-3617
Mailing Address Po Box 957415
Saint Louis
MO 63195-0001
Practice Telephone 6366952514
Practice Fax Number 6366952526
Enumeration Date 2006-06-02
Last Update Date 2008-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
36068 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 201784709 05
MO RAILROAD MEDICARE 990009648 01

Office Location

Street Address 5551 WINGHAVEN BLVD
SUITE 132
City O FALLON
State MO
Zip Code 63368-3617

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336141191 Phann D Vu Podiatrist 5551 Winghaven Blvd, Ste 280, O Fallon, MO 63368-3629 2005-08-11
1245616309 Forefront Dermatology, S.c. Dermatology 5551 Winghaven Blvd, Suite 210, O Fallon, MO 63368 2015-07-30
1336545391 Lori Payne Nurse Practitioner 5551 Winghaven Blvd, Suite 240, O Fallon, MO 63368-3617 2014-11-18
1972929628 Jenny Pancer Nurse Practitioner 5551 Winghaven Blvd, Ste 142, O Fallon, MO 63368-3617 2014-03-05
1407295355 Jenna A Sanders Nurse Practitioner 5551 Winghaven Blvd, Ste 290, O Fallon, MO 63368-3617 2013-06-24
1487924288 Internal Medicine At Winghaven, LLC Internal Medicine 5551 Winghaven Blvd, Ste 290, O Fallon, MO 63368-3617 2012-01-10
1982889861 Davis, Wright, Berdy & Suffian PC Allergy & Immunology 5551 Winghaven Blvd, Suite 270, O Fallon, MO 63368-3617 2008-01-09
1942491659 Winghaven Womens Care Inc. Obstetrics & Gynecology 5551 Winghaven Blvd, Suite 260, O Fallon, MO 63368-3617 2007-08-07
1700087269 Katherine Elizabeth Huhn-usry Family Medicine 5551 Winghaven Blvd, Ste 142, O Fallon, MO 63368-3617 2007-05-30
1689796294 Nelson G Usry Family Medicine 5551 Winghaven Blvd, Ste 142, O Fallon, MO 63368-3617 2007-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134720329 Come As You Are Counseling LLC Counselor 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 2020-11-04
1770124802 Lisa N. Greer Technician 6911 Brassel Dr., Ofallon, MO 63368 2019-09-30
1770145716 Halie Faye Gulley Dentist 3009 Hwy K, O'fallon, MO 63368 2019-06-29
1972079556 Erin Corsi Fraundorf Dentist 3009 State Hwy K, O'fallon, MO 63368 2018-10-22
1427579960 Air Evac Ems, Inc. Ambulance 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 2017-07-06
1528507472 Washeck Manual Therapy LLC Clinic/Center 3074 Winghaven Blvd, O'fallon, MO 63368 2017-02-13
1639618457 Brittany Hogan Physical Therapist 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 2017-02-13
1124561469 Cardinal Home Care LLC Home Health 18 Convent Garden Ct, O'fallon, MO 63368 2016-11-18
1336509272 Sarah Marie Mudd Counselor 1654 Bryan Road, O'fallon, MO 63368 2016-03-04
1588023956 Price-bourisaw Family Chiropractic Chiropractor 2917 State Highway K, O Fallon, MO 63368 2016-02-15
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225103765 Muhammad Jaffer Ansari Internal Medicine 310 N Seven Hills Rd Ste 150, O Fallon, IL 62269-4111 2006-11-21
1982247342 Christine Walthes Internal Medicine Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 2019-10-17
1497268965 Dana A Baugher Internal Medicine Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 2017-11-07
1407397862 Kellsey R Thole Internal Medicine Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 2017-03-17
1710433768 Katherine Ann Corbin Internal Medicine Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 2016-08-30
1255634424 Ca Group, LLC Internal Medicine 310 N Seven Hills Rd, Ste 150, O Fallon, IL 62269-4111 2010-12-09
1578887063 Michael J Hushion Internal Medicine Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 2010-03-26
1275799850 Venkatesh Anjan Internal Medicine Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 2008-08-01
1225295967 Dana M Loepker Internal Medicine Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 2008-05-20
1124299615 Mid America Heart, PC Internal Medicine 310 N Seven Hills Rd, Suite 150, O Fallon, IL 62269-4111 2008-03-12
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Competitor

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City O FALLON
Zip Code 63368

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Dataset Information

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.

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