SUSAN MARIE BOLLMAN (NPI# 1992354104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992354104 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE BOLLMAN |
| Credential | CPNP |
| Practice Address |
1002 Wishard Blvd Indianapolis IN 46202-2872 |
| Mailing Address |
Po Box 1026 Indianapolis IN 46206-1026 |
| Practice Telephone | 3179444846 |
| Mailing Telephone | 3177776435 |
| Mailing Fax Number | 3177776644 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71009390A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300030679 | 05 |
| Street Address |
1002 WISHARD BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598721953 | Julie A Vannerson | Internal Medicine | 1002 Wishard Blvd, Pcc 4th Floor, Indianapolis, IN 46202-2872 | 2006-04-25 |
| 1669080198 | Amy A Logsdon | Registered Nurse | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2020-07-21 |
| 1245888155 | Alisa Gail Visger | Registered Nurse | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2019-09-04 |
| 1538435524 | Iu Medical Group | Nurse Practitioner | 1002 Wishard Blvd, 4th Floor, Indianapolis, IN 46202-2872 | 2012-03-24 |
| 1629349998 | Danae Leah Young | Nurse Practitioner | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2012-01-19 |
| 1508151549 | Debbie Lois Vargo | Counselor | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2011-06-17 |
| 1952612327 | Sara Elaine Gosnell | Dietitian, Registered | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2010-06-30 |
| 1356652234 | Kristen Ritchey | Dietitian, Registered | 1002 Wishard Blvd, Wishard Primary Care Center-adult Medicine Clinic, Indianapolis, IN 46202-2872 | 2010-06-25 |
| 1215262175 | Mary E. Head | Social Worker | 1002 Wishard Blvd, Wishard Pediatric Primary Care Clinic, Indianapolis, IN 46202-2872 | 2009-10-12 |
| 1467613463 | Maria Parker Spector Robles | Internal Medicine | 1002 Wishard Blvd, 4th Floor, Indianapolis, IN 46202-2872 | 2008-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822844 | Kelsey M Knight | Nurse Practitioner | 705 Riley Hospital Dr Ste 1601, Indianapolis, IN 46202-5109 | 2020-08-21 |
| 1427594696 | Alecia A Woody | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Shalom Health Care Center Inc, Indianapolis, IN 46222-1146 | 2017-01-12 |
| 1710230388 | Nicole Lois Mohr-eslinger | Nurse Practitioner | 8010 E 75th St, Indianapolis, IN 46256-2003 | 2012-10-19 |
| 1952650673 | Juliann Kay Kiefer | Nurse Practitioner | 705 Riley Hospital Dr # 4340, Indianapolis, IN 46202-5109 | 2012-09-10 |
| 1184911588 | Paul G Dengler | Nurse Practitioner | 2451 N Keystone Ave, Indianapolis, IN 46218-3503 | 2011-07-06 |
| 1710296629 | Katherine Magoon | Nurse Practitioner | 2001 W 86th St Fl 3, Indianapolis, IN 46260-1902 | 2010-09-27 |
| 1669701629 | Indianapolis Neurosurgical Group | Nurse Practitioner | 702 Riley Hospital Dr, Suite 1134, Indianapolis, IN 46202-5139 | 2009-12-21 |
| 1508191750 | Allison Rose Hammer | Nurse Practitioner | 575 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5272 | 2009-10-06 |
| 1225298227 | Sharon Kaye Tormoehlen | Nurse Practitioner | 702 Barnhill Dr Rm 4340, Indianapolis, IN 46202-5128 | 2008-06-12 |
| 1639351745 | Elissa A. Jones-hua | Nurse Practitioner | 2802 Lafayette Rd, Suite 13, Indianapolis, IN 46222-2157 | 2007-11-30 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on SUSAN MARIE BOLLMAN.
| 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.