Timothy O Bollenbacher, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP 2536992 Issued in FL

Practice address

Indian River Surgery Center
1200 37TH Street
Vero Beach, FL 32960

Phone

(772) 770-5600

NPI assigned

May 30, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Peace River Anesthesiology Associates PA

  • Specialist
  • Punta Gorda, FL
  • NPI 1497737654
  NPD (past)
• Sebastian River Anesthesiology Associates, P. a.

  • Specialist
  • Sebastian, FL
  • NPI 1730161993
  NPD (past)
• West Florida Medical Center Clinic PA

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1043396245
  NPD (past)
• Community Hospital of Andalusia LLC

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  NPD (past)
• D.W. McMillan Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Brewton, AL
  • NPI 1679196927
  NPD (past)
• John a Vanlandingham, MD

  • Family Medicine Physician
  • Brewton, AL
  • NPI 1235309576
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1568419935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 WILDWOOD DR",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364262939",
            "telephone_number": "251-809-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INDIAN RIVER SURGERY CENTER",
            "address_2": "1200 37TH STREET",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-770-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLENBACHER",
        "first_name": "TIMOTHY",
        "middle_name": "O",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 2536992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anabel Bobes, PSY.D.
• Kristen Boehl, PTA
• Gregory Matthew Boehne, PT
• Erin Bogart
• Tiffiney Bolen
• Heather Lynn Bollinger, COTA
• Natalie Marie Bolton, MS
• Brittany Bond
• Zenaida Cabrera Bongato, D.M.D.
• Bonister Dialysis, LLC

• Certified Registered Nurse Anesthetist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.