JEFFERY A BOLLENBACHER DO PSC (NPI# 1700275823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700275823 |
| Entity Type | Organization |
| Organization Name | JEFFERY A BOLLENBACHER DO PSC |
| Other Organization Name | SPORTS ORTHOPEDICS PC |
| Practice Address |
3903 S 7th St Ste 1a Terre Haute IN 47802-5710 |
| Mailing Address |
Po Box 3402 Terre Haute IN 47803-0402 |
| Practice Telephone | 8122344243 |
| Practice Fax Number | 8124783663 |
| Mailing Telephone | 8122344243 |
| Mailing Fax Number | 8124783663 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | JEFFERY A BOLLENBACHER (ORTHOPEDIC SURGEON) |
| Authorized Official Telephone | 8122344243 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
IN02001578 | IN | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | IN02001578 | IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sports Orthopedics PC | Doing Business As Name - Organization |
| Street Address |
3903 S 7TH ST STE 1A |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952458580 | Jeffery A Bollenbacher | Orthopaedic Surgery | 3903 S 7th St Ste 1a, Terre Haute, IN 47802-5710 | 2007-01-04 |
| 1710471057 | Neurosurgery Associates, LLC | Neurological Surgery | 3903 S 7th St Ste 1a, Terre Haute, IN 47802-5710 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477758498 | Brown Orthopedics, LLC | Orthopaedic Surgery | 1199 E Canvasback Dr, Terre Haute, IN 47802-5304 | 2007-06-19 |
| 1952458580 | Jeffery A Bollenbacher | Orthopaedic Surgery | 3903 S 7th St Ste 1a, Terre Haute, IN 47802-5710 | 2007-01-04 |
| 1639103062 | Kurt Robert Erik Madsen | Orthopaedic Surgery | 501 E Hospital Ln, Suite 205, Terre Haute, IN 47802-4230 | 2006-07-10 |
| 1386177897 | Union Associated Physicians Clinic, LLC | Orthopaedic Surgery | 5500 S Us Highway 41, Terre Haute, IN 47802-4745 | 2017-04-11 |
| 1396063921 | Jeremiah Elias Palmer | Orthopaedic Surgery | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2010-05-06 |
| 1427212315 | Madsen Orthopedics and Spine, Psc | Orthopaedic Surgery | 501 E Hospital Ln, Suite 205, Terre Haute, IN 47802-4230 | 2008-07-10 |
| 1386852077 | Stephen Fern | Orthopaedic Surgery | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2007-05-18 |
| 1124231204 | Sameer Bipin Bavishi | Orthopaedic Surgery | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2007-05-07 |
| 1043394273 | Associated Physicians & Surgeons Clinic, LLC | Orthopaedic Surgery | 3903 S 7th St, Suite 2f, Terre Haute, IN 47802-5710 | 2006-10-24 |
| 1275643488 | Gary Ulrich | Orthopaedic Surgery | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2006-08-30 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
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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.