PATRICK MCCLURE BOLT (NPI# 1730197351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730197351 |
Entity Type | Individual |
Full Name | PATRICK MCCLURE BOLT |
Credential | MD |
Practice Address |
1819 W Clinch Ave Suite 100 Knoxville TN 37916 |
Mailing Address |
Po Box 32569 Knoxville TN 37930-2569 |
Practice Telephone | 8655245365 |
Practice Fax Number | 8656738007 |
Mailing Telephone | 8656940062 |
Mailing Fax Number | 8656738007 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2020-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
42025 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3000355 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1819 W Clinch Ave, Suite 100, Knoxville, TN 37916 | 8655245365 | 8656738007 |
6484 Kingston Pike, Knoxville, TN 379194863 | 8656330235 | 8656027757 |
9430 Park West Blvd Ste 130, Knoxville, TN 379234205 | 8656904861 | 8655608525 |
Street Address |
1819 W CLINCH AVE SUITE 100 |
City | KNOXVILLE |
State | TN |
Zip Code | 37916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811986623 | George Menees Krisle IIi | Internal Medicine | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2435 | 2005-10-14 |
1922551035 | Brittany Ellis | Dietitian, Registered | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2016-07-26 |
1275907685 | Erik Taylor | Nurse Practitioner | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2015-11-23 |
1447624457 | Julia Wegryn | Physician Assistant | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2434 | 2015-11-15 |
1194121723 | Lori A. Wilkerson | Nurse Practitioner | 1819 W Clinch Ave, Suite 114, Knoxville, TN 37916-2434 | 2014-11-10 |
1194124388 | Amanda Dawn Barnes | Nurse Practitioner | 1819 W Clinch Ave, Ste 108, Knoxville, TN 37916-2435 | 2014-08-14 |
1588088629 | Charles Peters | Physical Therapist | 1819 W Clinch Ave, Suite 106, Knoxville, TN 37916-2434 | 2014-02-10 |
1518202795 | Jennifer Jarrett Clark | Dietitian, Registered | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2012-11-29 |
1720332232 | Caroline Bond Swann | Physician Assistant | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2434 | 2012-11-06 |
1669734323 | Joseph B Thurman | Surgery | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2012-06-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
Find all providers in zip 37916 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093159436 | Daniel Benjamin Wells | Orthopaedic Surgery | 1819 Clinch Ave Ste 100, Knoxville, TN 37916-2435 | 2013-04-27 |
1023306057 | Colin Douglas Booth | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2011-07-11 |
1750436911 | Tennessee Orthopaedic Clinics, PC | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2007-01-25 |
1598785636 | Perry Merrill White IIi | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881256048 | Comprehensive Spine Institute | Orthopaedic Surgery | 1206 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-4143 | 2019-07-08 |
1770091654 | Coordinated Health Network of Tennessee, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550a, Nashville, TN 37238-3000 | 2018-01-13 |
1497263370 | Optimal Health of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2018-01-13 |
1124536008 | Spine Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300a, Memphis, TN 38120-4032 | 2018-01-13 |
1851809735 | Joint Replacement Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300b, Memphis, TN 38120-4032 | 2018-01-13 |
1518233501 | Eric L Emanski | Orthopaedic Surgery | 1736 Gunbarrel Road, Chattanooga, TN 37421-2268 | 2012-03-24 |
1821046459 | James M Fish | Orthopaedic Surgery | 300 Stonecrest Blvd Ste 230, Smyrna, TN 37167-6800 | 2006-05-05 |
1366417396 | James M Osborn | Orthopaedic Surgery | 102 Dunhill Pl Nw, Suite A, Cleveland, TN 37311-3885 | 2006-02-22 |
1619942091 | Richard G Pearce | Orthopaedic Surgery | 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2006-02-21 |
1386631976 | Patrick M Curlee Sr. | Orthopaedic Surgery | 3087 Professional Plz, Germantown, TN 38138-7912 | 2005-09-29 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PATRICK MCCLURE BOLT.
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.