Individual provider Active NPI

Marlana Sheridan Bollinger, M.D.

  • Family Medicine Physician
  • Oakland, MD
National Provider Identifier
1093196826
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0085218 Issued in MD
Practice address
311 N 4TH St Ste 1
Oakland, MD 21550
Phone
(301) 334-7855
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLC 286 clinicians
Medical Rehabilitation Systems LLC 71 clinicians
Mrs Physical Therapy 168 clinicians

Practice addresses (Care Compare)

106 Cemetery Rd
Accident, MD 21520-2097
Phone (301) 334-7855

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

12580 National Pike
Grantsville, MD 21536-3310
Phone (301) 895-5793

311 N 4TH St
Suite 1
Oakland, MD 21550-1371
Phone (301) 334-7855

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

736 E Oak St
Oakland, MD 21550-1615
Phone (301) 334-7855

Hospital & facility affiliations

  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20181001000646 MD Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8022322114 Reassigns benefits to 3 organizations
I20181114003455 WV Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8022322114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0085218MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC Single Specialty CurrentSince Sep 2, 2021 Accepting new patients
Wellspring Family Medicine, PC Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Privia Care Center LLC Single Specialty Current Accepting new patients
Privia Medical Group, LLC Single Specialty CurrentSince Sep 2, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 2, 2021 Accepting new patients
Menocal Medical Services PA Single Specialty Current Accepting new patients
GRMC, Inc. Past Accepting new patients
Nova Physician Wellness Center PLLC Single Specialty Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

106 Cemetery Rd
Accident, MD 21520
Phone (301) 334-7855

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

736 E Oak St
Oakland, MD 21550
Phone (301) 334-7855

311 N 4th St
Ste 1
Oakland, MD 21550
Phone (301) 334-7855

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

31452 Veterans Memorial Hwy
Terra Alta, WV 26764
Phone (301) 334-7855

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marlana.bollinger.1@8042.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0085218 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

311 N 4TH St Ste 1
Oakland, MD 21550

Mailing address

311 N 4TH St Ste 1
Oakland, MD 21550-1371
Phone (301) 334-7855

Other practice location 1

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 858-3460

Other names 1

NPPES NPI Registry
  • Marlana Renee Sheridan Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2021.

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1093196826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 4TH ST STE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501371",
            "telephone_number": "301-334-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 4TH ST STE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "21550",
            "telephone_number": "301-334-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-858-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "MARLANA",
        "middle_name": "SHERIDAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0085218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLANA",
            "last_name": "SHERIDAN",
            "middle_name": "RENEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.