Joe Randolph Bolton in Fresno - Thoracic Surgery (cardiothoracic Vascular Surgery)
Joe Randolph Bolton - NPI 1518055441
Joe Randolph Bolton is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Fresno, California. Joe Randolph Bolton practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Joe Randolph Bolton is 1518055441. The last update date is 2012-01-16.
Joe Randolph Bolton's current location address is 1377 E Herndon Ave, Fresno, California. You can contact this provider via phone number 5594507455 and fax number 5594507473. The mailing address for Joe Randolph Bolton is 1377 E Herndon Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joe Randolph Bolton |
|---|---|
| Address | 1377 E Herndon Ave, Fresno, California |
| Phone Number | 5594507455 |
| Fax Number | 5594507473 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518055441 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2012-01-16 |
Provider Mailing Address Detail
| Address | 1377 E Herndon Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937203022 |
| Phone Number | 5594507455 |
| Fax Number | 5594507473 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | J3436 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PENDING | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Joe Randolph Bolton by the Centers for Medicare & Medicaid Services (CMS)?
The Joe Randolph Bolton has been assigned the NPI (National Provider Identifier) 1518055441. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Joe Randolph Bolton located?
The Joe Randolph Bolton is located at 1377 E Herndon Ave, Fresno, CA 937203022.
What is the Joe Randolph Bolton's specialty and taxonomy code?
The Joe Randolph Bolton's specialty is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518055441 to Joe Randolph Bolton?
The Joe Randolph Bolton received its 1518055441 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the Joe Randolph Bolton's information last updated?
The Joe Randolph Bolton's information was last updated on 2012-01-16.