Mark J Bohlander, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G56360 Issued in CA

Practice address

888 Lakeside VLG Commons
Chico, CA 95928-3979

Phone

(530) 332-6856

Fax

(530) 893-6861

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Last Frontier Healthcare District

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1023110970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263310",
            "telephone_number": "530-332-6856",
            "fax_number": "530-893-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 LAKESIDE VLG COMMONS",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959283979",
            "telephone_number": "530-332-6856",
            "fax_number": "530-893-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLANDER",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G56360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G56360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Boddy
• Charlotte Elizabeth Bodnar
• Dylan Nicholas Boek
• Colin W Boggs, PHARM.D
• Heather Marie Boggs, LMFT
• James B Boice, M.D.
• Coralie Beryl Bokman, MFT
• Sharon Marie Bolden-Schleh, LEP
• Clifford L Bolin
• Dylan Cole Bond, OCULARIST

• Emergency Medicine Physician in Chico, CA
• Providers in Chico, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.