Timothy A Bolyard in Kingwood - Physician Assistant
Timothy A Bolyard - NPI 1891769063
Timothy A Bolyard is a Physician Assistant in Kingwood, . Timothy A Bolyard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Timothy A Bolyard is 1891769063. The last update date is 2007-07-08.
Timothy A Bolyard's current location address is 411 Morgantown St, Kingwood, . You can contact this provider via phone number 3043290555 and fax number 3043290556. The mailing address for Timothy A Bolyard is 411 Morgantown St, Kingwood, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy A Bolyard |
|---|---|
| Address | 411 Morgantown St, Kingwood, |
| Phone Number | 3043290555 |
| Fax Number | 3043290556 |
| Sole Proprietor | X |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1891769063 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 411 Morgantown St |
|---|---|
| City | Kingwood |
| State | (WV) |
| Post Code | 26537 |
| Phone Number | 3043290555 |
| Fax Number | 3043290556 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 284 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1804868000 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy A Bolyard by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy A Bolyard has been assigned the NPI (National Provider Identifier) 1891769063. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Timothy A Bolyard's physical address?
The Timothy A Bolyard is physically located at 411 Morgantown St, in the city of Kingwood, WV, with the postal code 26537.
What is Timothy A Bolyard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy A Bolyard is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891769063 to Timothy A Bolyard?
The Centers for Medicare & Medicaid Services assigned the 1891769063 to Timothy A Bolyard on 2006-02-15.
When was the information regarding Timothy A Bolyard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Timothy A Bolyard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA