Patrick Bolton, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

2013020662 Issued in MO

Practice address

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313

Phone

(314) 966-9491

NPI assigned

Aug 29, 2013

Sex

Male

Sole proprietor

No

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 AL

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

Specialty

Anesthesiology

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Lake Health Alabama, LLCGroup PAC ID 8325415375, 39 clinicians

Anesthesia AssociatesGroup PAC ID 3476570870, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078
• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Anesthesia Associates

  • Anesthesiology Physician
  • Gadsden, AL
  • NPI 1821013905
  Medicare reassignment Care Compare group NPD
• Epix Anesthesia of Alabama LLC

  • Anesthesiology Physician
  • Roswell, GA
  • NPI 1629427059

  AL

  Medicare reassignment NPD
• Blue Lake Health Alabama, LLC

  • Anesthesiology Physician
  • Florence, AL
  • NPI 1376266726
  Care Compare group

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

• Gadsden Regional Medical Center LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation
• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Care Compare affiliation

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1215361902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-966-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2013020662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Jean Bolster, M.D.
• Carmen Bolt
• Rachel Beth Bolter, MA, PLPC
• Earlene Katrice Bolton
• Kelly Leigh Bolton, MD
• Allison Charlotte Boltwood, PT, DPT
• Sebastian Boluarte Baca, MD
• Jamie Bommarito, RD, LD
• Melissa Ann Bommarito, CPNP-PC
• Nastassia C Bommel, D.O.

• Anesthesiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.