Sarah Boltik, DO
Individual provider Active NPI Pediatrics Physician · Lexington, KY
NPI 1780111088 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1780111088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 05006 (KY)
- Practice address
- 840 Quarter Horse CT
Lexington, KY 40503-5459 - Phone
- (702) 817-5002
- NPI assigned
- May 17, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211228002194 | KY | Practitioner - Pediatric Medicine | 3577954684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring View Physician Practices, LLC | Current |
Accepting new patients | |
| Spring View Physician Practices LLC | Current |
Accepting new patients | |
| Spring View Physician Practices, LLC | Current | Accepting new patients | |
| Spring View Hospital LLC | Past | Accepting new patients | |
| Spring View Physician Practices, LLC | Past | Accepting new patients |
Locations
420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139
330 N Loretto Rd
Lebanon, KY 40033
Phone (270) 699-2229
320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- sarah.boltik.1@30070.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 05006 | KY | Yes |
Addresses
Primary practice location
840 Quarter Horse CT
Lexington, KY 40503-5459
Mailing address
840 Quarter Horse CT
Lexington, KY 40503-5459
Phone (702) 817-5002
Other providers in Lexington, KY
- Michael Bryan Boling
- Emma Elise Bolinger
- Nagabhushanam R Bollavaram
- Jessica Claire Bollinger
- Stephen Bollinger
- Bolton Chiropractic Center PSC
- Kathryn A Bolton
- Kelly Elizabeth Bolton
- Niamh Bolton
- John J Bomalaski
All providers in Lexington, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.