Myra Bollar

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

17325 Euclid Ave Ste 2040
Cleveland, OH 44112-1250

Phone

(567) 416-9997

NPI assigned

Jul 24, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1497583090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 2040",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121250",
            "telephone_number": "567-416-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 2040",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121250",
            "telephone_number": "567-416-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLAR",
        "first_name": "MYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Bolen, M.D.
• Shari Danielle Bolen, M.D.
• Shonisha Boley
• Bhasakara P Bolisetty, M.D.
• Lynne Bolivar-Wolford, LICDC-CS
• Amy Bollas
• Kamala Bolles, RN, CPNP
• Melissa Marie Bollin, PA-C
• Lisa M Bolman, OTD OTR/L
• Youstina Bolok, MD

• All providers in Cleveland, OH
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.