DR. PRESTON BOLES (NPI# 1699734855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699734855 |
| Entity Type | Individual |
| Full Name | DR. PRESTON BOLES |
| Credential | DPM |
| Practice Address |
309 W Church St Greenwood MS 38930-4305 |
| Mailing Address |
Po Box 1410 Clinic Administration Greenwood MS 38935-1410 |
| Practice Telephone | 6624539004 |
| Mailing Telephone | 6624597189 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 80105 | MS | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00015222 | 05 | |
| MS | MEDICARE RAILROAD | P00391905 | 01 |
| Street Address |
309 W CHURCH ST |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962471417 | Greenwood Leflore Hospital | Podiatrist | 309 W Church St, Greenwood, MS 38930-4305 | 2006-03-16 |
| 1568525095 | Joseph L Assini | Podiatrist | 309 W Church St, Suite B, Greenwood, MS 38930-4305 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176913 | A-warnock LLC | Podiatrist | 1103 Central Park Blvd N, Greenwood, IN 46143-7312 | 2019-01-02 |
| 1629592191 | Christie Foot & Ankle, LLC | Podiatrist | 3031 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2017-07-27 |
| 1497762819 | Irene Erica Roge | Podiatrist | 1558 Victoria Ct, Greenwood, IN 46143-7884 | 2006-08-01 |
| 1962471417 | Greenwood Leflore Hospital | Podiatrist | 309 W Church St, Greenwood, MS 38930-4305 | 2006-03-16 |
| 1427051291 | Michael C Carroll | Podiatrist | 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 | 2005-05-24 |
| 1962922039 | Gait Medical LLC | Podiatrist | 1110 Marshall Rd, Wellness Center-podiatry, Greenwood, SC 29646 | 2017-06-21 |
| 1730101072 | Wendy Sue Winckelbach | Podiatrist | 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 | 2006-07-24 |
| 1356302137 | J Karl Winckelbach | Podiatrist | 33 E County Line Rd, Ste B, Greenwood, IN 46143-1043 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518527688 | Ortho Express Holding Company, LLC | Podiatrist | 1200 Office Park Dr, Oxford, MS 38655-3597 | 2019-06-19 |
| 1932682515 | Feltz Vision Center Ms LLC | Podiatrist | 7716 Old Canton Rd Ste C, Madison, MS 39110-9299 | 2018-09-11 |
| 1881193449 | Dr Michael S Zaleski | Podiatrist | 2310 4th St Ste A, Meridian, MS 39301-5819 | 2018-02-08 |
| 1760905145 | Dr Michael S Zaleski | Podiatrist | 206 Bay Ave Ste A, Richton, MS 39476-2941 | 2017-07-18 |
| 1184009086 | River Health Care, LLC | Podiatrist | 426 Abbey Woods, Brandon, MS 39047-7719 | 2015-07-21 |
| 1528440195 | Dr Michael S. Zaleski | Podiatrist | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-06-19 |
| 1982091096 | Aaron Israel | Podiatrist | 1837 Cooper Rd., Picayune, MS 39466-5576 | 2015-04-16 |
| 1689096612 | Podiatry Group Inc | Podiatrist | 122 5th Ave, Suite A, Mccomb, MS 39648-4159 | 2014-01-10 |
| 1417234022 | Podiatry Associates Pllc | Podiatrist | 56 Sgt Prentiss Dr, Natchez, MS 39120-4726 | 2011-11-10 |
| 1649413246 | Glossie M Turner-jointer | Podiatrist | 4101 Max St, Moss Point, MS 39563-5555 | 2009-04-13 |
| 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.