Michael Sinclair Bolick

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

106709 Issued in SC

Practice address

401 S Franklin Dr
Florence, SC 29501-4251

Phone

(843) 229-0312

NPI assigned

Mar 8, 2015

Last updated

May 27, 2015By the provider in NPPES

Sex

Male

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

Enrolled in SC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kershaw Anesthesia LLCGroup PAC ID 2567764384, 18 clinicians

Coastal Healthcare Resources IncGroup PAC ID 1658283593, 19 clinicians

McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Healthcare Resources Inc

  • Anesthesiology Physician
  • Florence, SC
  • NPI 1467635128

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Kershaw Anesthesia, LLC

  • Anesthesiology Physician
  • Camden, SC
  • NPI 1073986048
  Medicare reassignment Care Compare group NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494
  Medicare reassignment Care Compare group NPD
• Florence Surgery & Laser Center LLC

  • Ophthalmologic Surgery Clinic/Center
  • Florence, SC
  • NPI 1912959560
  Medicare reassignment NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba Cbo MRMC Emergency

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Florence Surgery & Laser Center LLC

  • Ambulatory Surgical Clinic/Center
  • Florence, SC
  • NPI 1437319027
  NPD
• McLeod Physician Associates II

  dba McLeod Urgent Care Center

  • Urgent Care Clinic/Center
  • Florence, SC
  • NPI 1104035492
  NPD
• McLeod Physician Associates II

  dba McLeod Orthopaedics - Florence

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739
  NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1871775841
  NPD
• Anesthesia Network Services, LLC

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1508199142
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation

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

{
    "created_epoch": "1425772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1699168104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S FRANKLIN DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014251",
            "telephone_number": "843-229-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S FRANKLIN DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014251",
            "telephone_number": "843-229-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLICK",
        "first_name": "MICHAEL",
        "middle_name": "SINCLAIR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-08",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "106709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Floyd Bobo, CRNA
• Iris A Boctor, P.T.
• Kayla Bodkins, MS, LPC-A
• Reghan Boehmke, MA, ATC
• Stephanie Lauren Boice
• Reginald S Bolick, MD
• Bonds & Patton Orthodontics LLC
• Philip Bonds
• Austin Boone, LPC
• John Price Booth, M.D.

• Certified Registered Nurse Anesthetist in Florence, SC
• Providers in Florence, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.