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MS. MARY ELIZABETH BOLTON DPM NPI 1912909581


NPI Information

NPI: 1912909581
Provider Name: MS. MARY ELIZABETH BOLTON, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
1 S MAIN ST
SUITE 1
CHAGRIN FALLS, OH
ZIP 44022
Phone: (440) 893-8800
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MS. Mary Elizabeth Bolton, DPM is a podiatrist in Chagrin Falls, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MS. Mary Elizabeth Bolton, DPM NPI is 1912909581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 S MAIN ST
SUITE 1
CHAGRIN FALLS, OH
ZIP 44022-225
Phone: (440) 893-8800
Fax: (440) 893-9422

The enumeration date for this NPI number is 8/12/2005 and was last updated on 7/1/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist36 002693OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12004502MEDICARE ID-TYPE UNSPECIFIED
2H106961MEDICARE PIN
3480032480OTHERKENTUCKYRAILROAD MEDICARE
4611341106OTHERFIRST HEALTH
5U17286MEDICARE UPIN
6611341106OTHERBLUEGRASS HEALTH
71218328OTHERCHA HEALTH
8000000050343OTHERKENTUCKYANTHEM
9611341106OTHERHUMANA
10611341106OTHERUNITED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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