Audrey Anne Bolden
FOREST PHYSICIAN SERVICES, LLP


Address: 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Phone: 6366255200

Audrey Anne Bolden (NPI# 1316455959, PAC ID# 1153682448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1316455959
PAC ID by PECOS 1153682448
Professional Enrollment ID I20180301001157
Full Name Audrey Anne Bolden
Organization Legal Name FOREST PHYSICIAN SERVICES, LLP
Address 100 Medical Plz
Lake Saint Louis
MO 63367-1366
Phone Number 6366255200
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8325325202
Number of Group Practice Members 37
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260200 SSM ST JOSEPH HOSPITAL WEST
260005 SSM ST JOSEPH HEALTH CENTER

Other Locations

Address Phone Organization
100 Medical Plz, Lake Saint Louis, MO 63367-1366 6366255200 FOREST PHYSICIAN SERVICES, LLP

Organization Information

Organization Legal Name FOREST PHYSICIAN SERVICES, LLP
Physicians 19

Physicians with the same organization

Name Specialty Organization Address
Victoria Lynn Hines Nurse Practitioner Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Patrick D Farrell Family Medicine Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Sebastian Puig Internal Medicine Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Lizzy A Taylor Nurse Practitioner Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Sharion R Settle Nurse Practitioner Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Himanshu Mittal Internal Medicine Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Umesh C Inampudi Internal Medicine Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Jeff Ditter Nurse Practitioner Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Thulasi Ram Gogireddy Internal Medicine Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Rupinderjit S Dhillon Internal Medicine Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366

Office Location

Street Address 100 MEDICAL PLZ
City LAKE SAINT LOUIS
State MO
Zip 63367-1366

Physicians in the same location

Name Specialty Organization Address
Peyman Benharash Cardiac Surgery The Regents of The University of California 100 Medical Plz, Suite 630, Los Angeles, CA 90095-6997
Inna Keselman Neurology The Regents of The University of California 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001
Andrew Jeremiah Levine Psychologist, Clinical The Regents of The University of California 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001
Victoria Lynn Hines Nurse Practitioner Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Antoinette S Gomes Interventional Radiology Ucla Radiology Medical Group 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001
Denise R Aberle Diagnostic Radiology Ucla Radiology Medical Group 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001
Patrick D Farrell Family Medicine Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Charles C Flippen II Neurology The Regents of The University of California 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001
Leif A Havton Neurology The Regents of The University of California 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001
John Long Anesthesiology Metro-west Anesthesia Group Inc 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
James David Sills Powell Podiatry 1309 Lake Saint Louis Blvd, Lake Saint Louis, MO 63367-1322
Gregory Dewitt Folkert Emergency Medicine Lake Forest Emergency Group LLC 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Akiko Okabe Nurse Practitioner Southeastern Physician Services PC 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Kathleen H Kidd Certified Registered Nurse Anesthetist (crna) Metro-west Anesthesia Group Inc 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Vincent Lawrence Boston Emergency Medicine Lake Forest Emergency Group LLC 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Justin Rapoff Emergency Medicine Lake Forest Emergency Group LLC 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Sebastian Puig Internal Medicine Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Stephanie J Sellner Certified Registered Nurse Anesthetist (crna) Metro-west Anesthesia Group Inc 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Lizzy A Taylor Nurse Practitioner Forest Physician Services, LLP 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Leslie W Thien Certified Registered Nurse Anesthetist (crna) Metro-west Anesthesia Group Inc 100 Medical Plz, Lake Saint Louis, MO 63367-1366
Find all physicians in zip 63367

Competitor

Search similar physicians

City LAKE SAINT LOUIS
Zip Code 63367
Specialty NURSE PRACTITIONER
City + Specialty LAKE SAINT LOUIS + NURSE PRACTITIONER

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Dataset Information

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.

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