DR. JOHN BOLDT (NPI# 1720195795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720195795 |
| Entity Type | Individual |
| Full Name | DR. JOHN BOLDT |
| Credential | MD |
| Practice Address |
527 N Leona St Downtown Clinic San Antonio TX 78207-3110 |
| Mailing Address |
7703 Floyd Curl Dr Rm 428f Uthscsa; 7703 Floyd Curl Dr. Msc 7836 San Antonio TX 78229-3901 |
| Practice Telephone | 2105675051 |
| Practice Fax Number | 2105674963 |
| Mailing Telephone | 2105675051 |
| Mailing Fax Number | 2105674963 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
C7927 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 122300003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067335 | John W Boldt Jr. | Internal Medicine | 979 E 3rd St, Suite B-805, Chattanooga, TN 37403-2136 | 2005-10-14 |
| Street Address |
527 N LEONA ST DOWNTOWN CLINIC |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588632046 | Cordelia A Moscrip | Family Medicine | 527 N Leona St, 2nd Floor Express Med Clinic, San Antonio, TX 78207-3110 | 2006-03-10 |
| 1497027312 | Howard Kenneth Rogers | Marriage & Family Therapist | 527 N Leona St, Bldg A, 3rd Floor, San Antonio, TX 78207-3110 | 2012-02-08 |
| 1902184310 | Cathy L. White | Registered Nurse | 527 N Leona St, San Antonio, TX 78207-3110 | 2011-08-02 |
| 1922319284 | Ryan Matthew Pflipsen | Social Worker | 527 N Leona St, San Antonio, TX 78207-3110 | 2010-07-01 |
| 1316170699 | El Centro Del Barrio, Inc. | Clinic/Center | 527 N Leona St, San Antonio, TX 78207-3110 | 2009-09-02 |
| 1588809073 | Mary Lou Cortinas | Social Worker | 527 N Leona St, San Antonio, TX 78207-3110 | 2008-12-11 |
| 1164667655 | Carmen Boudreau | Case Manager/Care Coordinator | 527 N Leona St, San Antonio, TX 78207-3110 | 2008-12-11 |
| 1538321856 | Yu Wah | Family Medicine | 527 N Leona St, San Antonio, TX 78207-3110 | 2008-06-27 |
| 1508037110 | University Hospital | Clinic/Center | 527 N Leona St, San Antonio, TX 78207-3110 | 2008-03-22 |
| 1952571879 | Linda E Schmidt | Nurse Practitioner | 527 N Leona St, San Antonio, TX 78207-3110 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779299 | Beverly Gail Hutzler | Obstetrics & Gynecology | 4502 Medical Dr # 71-1, San Antonio, TX 78229-4402 | 2020-01-07 |
| 1790123156 | Hatem Hatem | Obstetrics & Gynecology | 7719 S Ih 35 Ste 220, San Antonio, TX 78224-1469 | 2013-06-07 |
| 1184615452 | Edward Robert Kost | Obstetrics & Gynecology | 903 W Martin St, San Antonio, TX 78207-0903 | 2005-11-04 |
| 1073888319 | Jaron Evan Mark | Obstetrics & Gynecology | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2012-03-20 |
| 1821287483 | James L Wilder Md Pa | Obstetrics & Gynecology | 540 Madison Oak Dr, Ste #570, San Antonio, TX 78258-3943 | 2007-10-19 |
| 1013055813 | Antonio Santillan-gomez | Obstetrics & Gynecology | 4411 Medical Dr, Ste. 100, San Antonio, TX 78229-3822 | 2007-02-02 |
| 1770664542 | South Texas Oncology and Hematology, Pllc | Obstetrics & Gynecology | 4383 Medical Drive, San Antonio, TX 78229-3307 | 2006-10-18 |
| 1881701944 | Kevin Hall | Obstetrics & Gynecology | 7703 Floyd Curl Dr Rm 428f, Uthscsa, Dept. of Ob/gyn, San Antonio, TX 78229-3901 | 2006-08-24 |
| 1841206885 | James E Mark | Obstetrics & Gynecology | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2006-07-31 |
| 1861408866 | Fred M Massey | Obstetrics & Gynecology | 7922 Ewing Halsell Dr, Suite #220, San Antonio, TX 78229-3786 | 2006-07-31 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78207 |
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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.