Active NPI
Lorina Bolea, DO
- Diagnostic Radiology Physician
- Bloomsburg, PA
National Provider Identifier
1366129744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OT022648
- Practice address
- 549 Fair St
Bloomsburg, PA 17815-1419 - Phone
- (570) 416-1925
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OT022648 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | OT022648 | PA | Primary |
Addresses
Primary practice location
549 Fair St
Bloomsburg, PA 17815-1419
Mailing address
549 Fair St
Bloomsburg, PA 17815-1419
Phone (570) 416-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT022648 | PA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1366129744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 FAIR ST",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178151419",
"telephone_number": "570-416-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "549 FAIR ST",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178151419",
"telephone_number": "570-416-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLEA",
"first_name": "LORINA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "OT022648",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "OT022648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomsburg, PA
- Bloomsburg University Speech & Hearing Clinic
- Bloomsburg Volunteer Ambulance Association
- Bloomsburg Volunteer Ambulance Association, Inc.
- Bogar Vision Care LLC
- Amanda Bogert
- Donna E Bolinger, LCSW
- Erika Dorothy Book, DMD
- Hans Werner Bottesch II, D.C.
- Alexandra Grace Bower, PA-C
- Brian Eugene Brecht, M.S., P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.