CHRISTINE M BOLEN (NPI# 1750439345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750439345 |
| Entity Type | Individual |
| Full Name | CHRISTINE M BOLEN |
| Credential | MD |
| Practice Address |
301 Hawthorne Ln Suite 100 Charlotte NC 28204-2450 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043841900 |
| Practice Fax Number | 7043841919 |
| Mailing Telephone | 7043841900 |
| Mailing Fax Number | 7043841919 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | D0062257 | MD | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
2007-01081 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | N81007 | 05 |
| Street Address |
301 HAWTHORNE LN SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268160 | Paulette C Bryant | Pediatrics | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2005-10-10 |
| 1811469885 | Erik Rush | Physician Assistant | 301 Hawthorne Ln, Charlotte, NC 28204 | 2019-01-01 |
| 1528467586 | The Presbyterian Hospital | Pediatrics | 301 Hawthorne Ln, Charlotte, NC 28204-2450 | 2014-08-15 |
| 1598027617 | Stephanie E Betters | Nurse Practitioner | 301 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2450 | 2012-06-14 |
| 1043512734 | Brian Christopher Regan | Nurse Practitioner | 301 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2450 | 2010-12-01 |
| 1366776833 | Courtney Huffman Saine | Nurse Practitioner | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2009-09-30 |
| 1689836306 | Carissa Leigh Heibel | Physician Assistant | 301 Hawthorne Ln, Charlotte, NC 28204 | 2008-06-25 |
| 1578751012 | Mary Barksdale Gee | Nurse Practitioner | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2007-10-10 |
| 1093921744 | Jessica Bell | Pediatrics | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2007-05-16 |
| 1225136120 | Andria K Kokoszka | Nurse Practitioner | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2006-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528467586 | The Presbyterian Hospital | Pediatrics | 301 Hawthorne Ln, Charlotte, NC 28204-2450 | 2014-08-15 |
| 1457695454 | Carolinas Medical Center | Pediatrics | 1001 Blythe Blvd, Ste 601a, Charlotte, NC 28203-5866 | 2012-11-15 |
| 1487940375 | Erin Trovillion | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2011-06-20 |
| 1003130055 | Kristina Harrell | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2010-03-19 |
| 1902084403 | Michael Kent | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2008-02-06 |
| 1407032469 | Jeffrey Huo | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2008-01-21 |
| 1922204718 | David Gass | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-06-27 |
| 1689881849 | Philip Roehrs | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-05-17 |
| 1093921744 | Jessica Bell | Pediatrics | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2007-05-16 |
| 1821217605 | Javier Oesterheld | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-04-24 |
| Find all providers in CHARLOTTE | ||||
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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.