Mary E Boll, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

DA1754 Issued in AZ

Practice address

6567 E Carondelet Dr Ste 515
Tucson, AZ 85710-6158

Phone

(520) 296-8500

Fax

(520) 733-2389

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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.

• Children'S Clinics for Rehabilitative Services

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1063454346

  AZ

  Medicare reassignment NPD
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792

  AZ

  Medicare reassignment NPD
• Tucson Medical Center

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1972876563
  NPD

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2010.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1487799557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10174 E CANYON MEADOW DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475505",
            "telephone_number": "520-296-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 515",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106158",
            "telephone_number": "520-296-8500",
            "fax_number": "520-733-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLL",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA1754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Bolanos, DO
• Brenda Marie Boldrey, MA LPC
• Patricia Bolhack, PHYSICAL THERAPIST
• Scott M Bolhack, MD
• Misty Boling
• Theodore J Bollard, ARNP-FNP
• Carol Ann Bolling, COTA
• Efua H. Bolouvi, MD
• Garret Michael Bolthouse, MA, MCFC, LPC, NCC
• Tamara A Bolthouse, HS-BCP

• All providers in Tucson, AZ
• Audiologist-Hearing Aid Fitter in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.