ZACHARY BOLIN (NPI# 1639574619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639574619 |
| Entity Type | Individual |
| Full Name | ZACHARY BOLIN |
| Credential | P.A. |
| Practice Address |
15650 Cedar Ave Apple Valley MN 55124-7283 |
| Mailing Address |
1787 Randolph Ave Saint Paul MN 55105-2157 |
| Practice Telephone | 9529974100 |
| Mailing Telephone | 8162175262 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15650 CEDAR AVE |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-7283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786564 | Brian C Weitz | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2005-08-03 |
| 1225524093 | Michelle Thuy Wong | Pharmacist | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2018-07-05 |
| 1326532755 | Brent Risser | Health Educator | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2018-06-19 |
| 1891240867 | Kelly Fern | Marriage & Family Therapist | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2016-08-19 |
| 1104278365 | April Coming Hay | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2016-07-11 |
| 1417326778 | Andrea Bruns | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2015-09-16 |
| 1760884928 | Lauren Elizabeth Gibbons | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124 | 2014-09-19 |
| 1396009247 | Nana A Wilmot-desouza | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2012-06-26 |
| 1336430453 | Megan Pence | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2011-04-23 |
| 1295054211 | Fairview Health Services | Clinic/Center | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2010-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144780016 | Lauren Nicole Smith | Physician Assistant | 18112 Outer Hwy 18 Ste 101, Apple Valley, CA 92307-2211 | 2019-03-25 |
| 1275979742 | Michelle A. Oropeza | Physician Assistant | 18112 Outer Hwy 18, Suite 101, Apple Valley, CA 92307-2211 | 2013-05-10 |
| 1639220080 | Michelle Ann Wanner | Physician Assistant | 15115 Dove Trl, Attn: Minuteclinic, Apple Valley, MN 55124-7871 | 2007-01-14 |
| 1265469712 | William Joseph Wilson | Physician Assistant | 18522 Highway 18, Suite 102, Apple Valley, CA 92307 | 2006-06-27 |
| 1124072087 | Bruce L Jackson | Physician Assistant | 15863 Kasota Rd, Apple Valley, CA 92307-4507 | 2006-05-22 |
| 1053369009 | Michael S Erskine | Physician Assistant | 16003 Tuscola Rd, Suite F, Apple Valley, CA 92307-1319 | 2006-05-04 |
| 1790315273 | Sarah Barnes | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2020-01-23 |
| 1801433305 | Vishal Verma | Physician Assistant | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308-5152 | 2019-12-03 |
| 1235697376 | Elias Christopher Frangos | Physician Assistant | 15962 Quantico Rd, Apple Valley, CA 92307-1302 | 2019-03-07 |
| 1184122046 | Daniel Joseph Lunsford Durbin | Physician Assistant | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2018-01-25 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on ZACHARY BOLIN.
| 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.