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.
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 6366255200 | FOREST PHYSICIAN SERVICES, LLP |
| Organization Legal Name | FOREST PHYSICIAN SERVICES, LLP |
| Physicians | 19 |
| 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 |
| Street Address |
100 MEDICAL PLZ |
| City | LAKE SAINT LOUIS |
| State | MO |
| Zip | 63367-1366 |
| 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 | |||
| 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 | |||
| City | LAKE SAINT LOUIS |
| Zip Code | 63367 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE SAINT LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Audrey Anne Bolden.
| 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.