Christopher Boltersdorf, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

460 E Altamonte Dr Ste 2200
Altamonte Springs, FL 32701-4653

Phone

(407) 767-0009

Fax

(407) 767-0022

NPI assigned

Feb 22, 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

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2982/brand/1/csg/1/fhir/r4

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.

• Anchor Health Centers PA

  • Family Medicine Physician
  • Naples, FL
  • NPI 1174571608
  NPD (past)
• Physicians of South Florida, LLC

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1841430006
  NPD (past)
• Total Senior Health Care Mobile Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bonita Springs, FL
  • NPI 1790871424
  NPD (past)
• Visiting Physician Associates of South Jersey LLC

  • Gerontology Nurse Practitioner
  • Hammonton(Elm), NJ
  • NPI 1306993951
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1689649634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR STE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014653",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR STE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014653",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 N Causeway",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321695239",
            "country_code": "US",
            "telephone_number": "386-387-2202",
            "fax_number": "407-767-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLTERSDORF",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Bloomfield
• BMG of Florida PA
• Stephanie Marie Boes, ARNP
• Melanie Bogus, MA, RMHCI
• Cynthia Mary Bologna, APRN
• Vasudeva R Bommineni, M.D.
• Richard Bonet
• Tona Bonilla
• Randi Cheryl Bonner, PT, CLT-LANA, ALM
• Julia N Borawska

• Physician Assistant in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.