Patricia A Boltz, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

21886 Issued in AL

Practice address

1 Timber Way
Suite #203
Spanish Fort, AL 36527-5682

Phone

(251) 445-7225

Fax

(251) 445-7226

NPI assigned

Aug 10, 2005

Last updated

May 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jasper General Hospital

  dba Family Medical Clinic

  • Family Medicine Physician
  • Bay Springs, MS
  • NPI 1770660920
  Medicare reassignment NPD
• Boltz Pain Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Spanish Fort, AL
  • NPI 1235381013
  Authorized official Same address or phone
• Jasper General Hospital

  dba Jasper County After Hours Clinic

  • Rural Health Clinic/Center
  • Bay Springs, MS
  • NPI 1245870823
  NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1093716102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIMBER WAY",
            "address_2": "SUITE #203",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275682",
            "telephone_number": "251-445-7225",
            "fax_number": "251-445-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIMBER WAY",
            "address_2": "SUITE #203",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275682",
            "telephone_number": "251-445-7225",
            "fax_number": "251-445-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTZ",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "21886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Bent
• Birmingham Recovery Center Inc. (Longleaf Recovery Baldwin)
• Bloom and Grow Counseling and Wellness LLC
• Maria Boccardo
• Boltz Pain Center, LLC
• Barry Frank Booth, DMD
• Barry Lee Booth, D.M.D.
• Madelyn Borel, RDN
• Carlie Bouldin, MS, CCC-SLP
• Victoria Bowman, CRNP

• Pain Medicine (Anesthesiology) Physician in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Pain Medicine (Anesthesiology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.