Bolad Arthritis & Rheumatology Clinic, P.a.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME120763 Issued in FL

Legal business name

BOLAD ARTHRITIS & RHEUMATOLOGY CLINIC, P.A.

Doing business as

Bolad Arthritis & Rheumatology Clinic

Practice address

1646 33Rd St
Ste 101
Orlando, FL 32839-8866

Phone

(407) 409-8118

Fax

(407) 264-6562

NPI assigned

Aug 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Waleed A Bolad, MDNPI 1194907667

Title

Rheumatologist

Phone

(434) 466-2996

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bolad Arthritis & Rheumatology Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Waleed Abbas Bolad, MD

  • Rheumatology Physician
  • Orlando, FL
  • NPI 1194907667
  Medicare reassignment NPD Authorized official
• Amy Bockelkamp, APRN

  • Nurse Practitioner
  • Clearwater, FL
  • NPI 1528496155
  Medicare reassignment NPD
• Alissa Gwen Ledgerwood, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1770971343
  Medicare reassignment NPD
• Bahar Sumbul-Yuksel, M.D.

  • Rheumatology Physician
  • Orlando, FL
  • NPI 1013903327
  Medicare reassignment NPD
• Keisha Camille Maloney, MD

  • Rheumatology Physician
  • Covington, GA
  • NPI 1992996540
  NPD

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1215336177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 33RD ST",
            "address_2": "STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398866",
            "telephone_number": "407-409-8118",
            "fax_number": "407-264-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 33RD ST",
            "address_2": "STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398866",
            "telephone_number": "407-409-8118",
            "fax_number": "407-264-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLAD ARTHRITIS & RHEUMATOLOGY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-17",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BOLAD",
        "authorized_official_first_name": "WALEED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RHEUMATOLOGIST",
        "authorized_official_telephone_number": "434-466-2996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME120763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014446500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolad Arthritis & Rheumatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonya S Bojanowski, RBT
• Lora Bojilova-Dor, MD
• Kim A Bokankowitz
• Jackson Bokash, RBT
• Alex Bokun, PHARMD
• Waleed Abbas Bolad, MD
• Jeanne Boland
• Jeremy Scott Boldon
• Francesca Delight Bolduc, APRN
• Alexander Bolen

• Rheumatology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.