Gail Lynn Bolton, AU.D.,CCC/A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

00549 Issued in IA

Practice address

909 Lincoln Cir SE Ste 2
Orange City, IA 51041-1860

Phone

(712) 707-9585

Fax

(712) 707-9801

NPI assigned

Feb 21, 2006

Last updated

Mar 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Korver Ear Nose and Throat LLCGroup PAC ID 3870592314, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Korver Ear Nose & Throat, LLC

  • Clinic/Center
  • Orange City, IA
  • NPI 1689778201
  Medicare reassignment Care Compare group
• Orange City Dentistry, Inc

  • General Practice Dentistry
  • Orange City, IA
  • NPI 1811066590
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1710952106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 LINCOLN CIR SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411859",
            "telephone_number": "712-707-9585",
            "fax_number": "712-707-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 LINCOLN CIR SE STE 2",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411860",
            "telephone_number": "712-707-9585",
            "fax_number": "712-707-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "GAIL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AU.D.,CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "00549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "1710952106",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "426038405",
            "identifier": "CONNETICUT GENERAL",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "426038405",
            "identifier": "CIGNA",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297788",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "247106",
            "identifier": "MIDLANDS",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Michelle Beadner, CFCP
• Melody Deanne Becker Pullman, LMHC
• Gregory D. Beernink, D.D.S.
• Bethany Christian Services of Northwest Iowa
• Susan Blankers
• Samantha Mae Bormann, MA
• Christopher Steven Canu
• Mackenzie Elizabeth Carey
• Brent Philip Chambers
• Olivia Kay Chapman, FNP

• Audiologist in Orange City, IA
• Providers in Orange City, IA by specialty
• Audiologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.