DR. TRAVIS L BOLTON JR. (NPI# 1932184181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932184181 |
Entity Type | Individual |
Full Name | DR. TRAVIS L BOLTON JR. |
Credential | M.D. |
Practice Address |
2400 Unser Blvd Se Rio Rancho NM 87124-4740 |
Mailing Address |
5410 Maryland Way Ste 300 Brentwood TN 37027-5339 |
Practice Telephone | 5052531187 |
Practice Fax Number | 5052531199 |
Mailing Telephone | (615) 371-5778 |
Mailing Fax Number | 6152905294 |
Enumeration Date | 2005-12-09 |
Last Update Date | 2017-09-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | MD2017-0672 | NM | Allopathic & Osteopathic Physicians |
Y | 208M00000X | Hospitalist | MD2017-0672 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 064450100 | 05 |
Street Address |
2400 UNSER BLVD SE |
City | RIO RANCHO |
State | NM |
Zip Code | 87124-4740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356322762 | Imtiaz A Malik | Physician Assistant | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2005-11-11 |
1982252383 | Jessica Bartra | Nurse Practitioner | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2019-08-28 |
1376022822 | Hospitalist Medicine Physicians of New Mexico -tcg LLC | Internal Medicine | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2018-08-07 |
1144712837 | Eileen Shi | Physician Assistant | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2018-05-30 |
1194230714 | Nanette C Vela | Nurse Practitioner | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-12-05 |
1487179776 | Shirley Mae Crotwell | Psychologist | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-08-07 |
1528599727 | Priya Vallabh Shah | Pediatrics | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-03-21 |
1235670977 | Carly Nathan | Advanced Practice Midwife | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-03-14 |
1689119240 | Keri J Maracchini | Dietitian, Registered | 2400 Unser Blvd Se, Lower Level, Rio Rancho, NM 87124-4740 | 2017-01-05 |
1932653417 | Melissa T Torres | Nurse Practitioner | 2400 Unser Blvd Se, Physicians Office Bldg #08213, Rio Rancho, NM 87124-4740 | 2016-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
Find all providers in zip 87124 |
Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013399294 | Seunghwan Byun | Hospitalist | 2400 Unser Blvd Se, Rio Rancho, NM 87124 | 2015-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619449857 | David Anthony Silva | Hospitalist | 1134 Turkey Knob Dr, Las Cruces, NM 88012-6118 | 2018-12-28 |
1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
1386902260 | Bilal Mohammad Khan | Hospitalist | Msc04 -2785 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-04-27 |
1275778433 | Lisa Marie Lesher | Hospitalist | 202 S Guadalupe St, Carlsbad, NM 88220-5725 | 2008-12-02 |
1548265713 | Milagro Medical Group PC | Hospitalist | 504 Elm St Ne, Albuquerque, NM 87102-2512 | 2005-06-15 |
1215408497 | Aanu Ogunbanjo | Hospitalist | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2018-12-16 |
1770064743 | Invictus Healthcare Management, LLC | Hospitalist | 1901 Red Rock Dr, Gallup, NM 87301-5683 | 2018-08-27 |
1366928749 | Nm Pacs 2 LLC | Hospitalist | 10101 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-6022 | 2018-07-18 |
1801325634 | New Mexico Pac Services PC | Hospitalist | 635 Harkle Rd, Santa Fe, NM 87505-4751 | 2017-06-06 |
1407383417 | John Wuthrich | Hospitalist | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 | 2017-05-22 |
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City | RIO RANCHO |
Zip Code | 87124 |
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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.