Michael Ted Boler Jr. (NPI# 1023305687, PAC ID# 0143441550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1023305687 |
PAC ID by PECOS | 0143441550 |
Professional Enrollment ID | I20141029000770 |
Full Name | Michael Ted Boler Jr. |
Organization Legal Name | CARDIOLOGY ASSOCIATES OF NORTH MS PA |
Address |
499 Gloster Creek Vlg Suite A2 Tupelo MS 38801-4749 |
Phone Number | 6626206800 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Group Practice PAC ID | 4688648595 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250004 | NORTH MISSISSIPPI MEDICAL CENTER |
250020 | WEBSTER GENERAL HOSPITAL/ SWING BED |
250067 | CLAY COUNTY MEDICAL CORPORATION |
010044 | MARION REGIONAL MEDICAL CENTER |
250002 | TISHOMINGO HEALTH SERVICES INC |
Address | Phone | Organization |
---|---|---|
499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 | 6626206800 | CARDIOLOGY ASSOCIATES OF NORTH MS PA |
830 S Gloster St, Tupelo, MS 38801-4934 | 6626206800 | CARDIOLOGY ASSOCIATES OF NORTH MS PA |
830 S Gloster St, Nmmc Ekg Interpretations, Tupelo, MS 38801-4934 | 6623773000 | NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC |
Organization Legal Name | CARDIOLOGY ASSOCIATES OF NORTH MS PA |
Physicians | 22 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wanda A Ikeda | Nurse Practitioner | Cardiology Associates of North Ms Pa | 2892 S Lamar Blvd, Oxford, MS 38655-5347 |
Douglas L Hill | Cardiovascular Disease (cardiology) | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Katherine B Mcduffie | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Lauren C Holliman | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Christopher M Bell | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Amit K Gupta | Interventional Cardiology | Cardiology Associates of North Ms Pa | 2892 S Lamar Blvd, Oxford, MS 38655-5347 |
Barry D Bertolet | Interventional Cardiology | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Richard Dane Ballard | Interventional Cardiology | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Janet B Richey | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Benjamin D Blossom | Interventional Cardiology | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Street Address |
499 GLOSTER CREEK VLG SUITE A2 |
City | TUPELO |
State | MS |
Zip | 38801-4749 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jon T Posey | Urology | Urology Professional Assoc | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4749 |
Colby Blake Ponder | Nurse Practitioner | Northeast Mental Health-mental Retardation Commission | 499 Gloster Creek Vlg, Suite A 3, Tupelo, MS 38801-4600 |
Eric Lewis | Orthopedic Surgery | Orthopaedic Institute of North Mississippi, LLC | 499 Gloster Creek Vlg, Suite G1, Tupelo, MS 38801-4751 |
Douglas L Hill | Cardiovascular Disease (cardiology) | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Robert C Buckley | Plastic and Reconstructive Surgery | 499 Gloster Creek Vlg, Suite D4, Tupelo, MS 38801-4711 | |
Katherine B Mcduffie | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Jonathan R Kalish | Urology | Urology Professional Assoc | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4749 |
Lauren C Holliman | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Christopher M Bell | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
Matthew Logan Garner | Physician Assistant | Urology Professional Assoc | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4749 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
Find all physicians in zip 38801 |
City | TUPELO |
Zip Code | 38801 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | TUPELO + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.