MR. JAMES M. BOLANOS (NPI# 1811077332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811077332 |
| Entity Type | Individual |
| Full Name | MR. JAMES M. BOLANOS |
| Credential | PA-C |
| Practice Address |
520 N Chelan Ave Wenatchee WA 98801-6697 |
| Mailing Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
| Practice Telephone | 5096622211 |
| Practice Fax Number | 5096628756 |
| Mailing Telephone | 5096638711 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10002147 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WVH LNI | 322540 | 01 |
| WA | 1811077332 | 05 | |
| WA | RR MEDICARE WVH | P01428922 | 01 |
| Street Address |
520 N CHELAN AVE |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-6697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374767 | Susan M Austin | Orthopaedic Surgery | 520 N Chelan Ave, Wenatchee, WA 98801 | 2005-05-23 |
| 1922312263 | Cecilia A Ohman | Nurse Practitioner | 520 N Chelan Ave, Wenatchee, WA 98801-6697 | 2010-07-28 |
| 1720272537 | Margaret Averil Fletcher | Physical Therapist | 520 N Chelan Ave, Wenatchee, WA 98801-6697 | 2007-09-05 |
| 1043348063 | Cameron L Collings | Physician Assistant | 520 N Chelan Ave, Wenatchee, WA 98801-6697 | 2007-03-01 |
| 1164433561 | Jeffrey Allan Pratt | Orthopaedic Surgery | 520 N Chelan Ave, Wenatchee, WA 98801-6697 | 2006-08-10 |
| 1710914437 | Daniel W Canfield | Orthopaedic Surgery | 520 N Chelan Ave, Wenatchee, WA 98801-6697 | 2006-06-27 |
| 1306894100 | Central Washington Health Services Association | Orthopaedic Surgery | 520 N Chelan Ave, Wenatchee, WA 98801-6697 | 2006-05-04 |
| 1700883337 | Richard Craig Brownlee | Orthopaedic Surgery | 520 N Chelan Ave, Wenatchee, WA 98801-6697 | 2005-06-28 |
| 1265438808 | Keary P. Kunz | Orthopaedic Surgery | 520 N Chelan Ave, Wenatchee Orthopaedics, Wenatchee, WA 98801-6697 | 2005-06-27 |
| 1871599415 | Daniel L. Ritzke | Physician Assistant | 520 N Chelan Ave, Wenatchee, WA 98801-6697 | 2005-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
| 1861047425 | Amanda Roy | Physician Assistant | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2019-08-09 |
| 1710368253 | Jordan Knox | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2015-06-10 |
| 1245622059 | Steven Samuel Tilka | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2015-03-03 |
| 1750681839 | Joshua John Phillips | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2010-10-23 |
| 1942344189 | Corinne Viebrock Biggar | Physician Assistant | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2007-02-19 |
| 1508856410 | Richard Derek Allen | Physician Assistant | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
| 1104231893 | Amber Elaine Deck | Physician Assistant | 20307 67th Ave E, Spanaway, WA 98387-5600 | 2014-06-22 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| 1477875011 | Puget Sound Surgical Assistants LLC | Physician Assistant | 14712 134th Ct Ne, Woodinville, WA 98072-4615 | 2010-02-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JAMES M. BOLANOS.
| 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.