Scott M Bolhack, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

20393 Issued in AZ

Practice address

5130 North Circulo Sobrio
Tucson, AZ 85718-6036

Phone

(520) 670-0745

Fax

(520) 509-4496

NPI assigned

Nov 9, 2005

Last updated

Mar 22, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.bolhack.1@30710.direct.athenahealth.com

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.

• TLC Healthcare Medical Group PC

  dba Scott M Bolhack MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Tucson, AZ
  • NPI 1720157464

  Internal Medicine

  Medicare reassignment NPD Authorized official
• TLC Healthcare Wound Specialists Inc

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1699918235
  Authorized official Same address or phone
• Tucson Long Term Care Medical Group

  • Clinic/Center
  • Tucson, AZ
  • NPI 1831299932

  Internal Medicine

  NPD (past) Authorized official
• Archie Hendricks Sr Skilled Nursing Facility

  dba Tohono O'odham Hospice

  • Skilled Nursing Facility
  • Sells, AZ
  • NPI 1073503777
  NPD (past)
• Northwest Allied Physicians LLC

  • General Practice Physician
  • Tucson, AZ
  • NPI 1003833179

  Internal Medicine

  NPD (past)
• Northwest Allied Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1821302910
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1730160573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 NORTH COUNTRY CLUB ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-322-6274",
            "fax_number": "520-509-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 NORTH CIRCULO SOBRIO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186036",
            "telephone_number": "520-670-0745",
            "fax_number": "520-509-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLHACK",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "20393",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "20393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Anne Boland-Robillard, DDS
• Andria Rae Boland, PHARMD
• Kevin Bolanos, DO
• Brenda Marie Boldrey, MA LPC
• Patricia Bolhack, PHYSICAL THERAPIST
• Misty Boling
• Theodore J Bollard, ARNP-FNP
• Carol Ann Bolling, COTA
• Efua H. Bolouvi, MD
• Garret Michael Bolthouse, MA, MCFC, LPC, NCC

• Geriatric Medicine (Internal Medicine) Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.