Active NPI
Mark James Bolton, M.D.
- General Practice Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 69133
- Practice address
- 420 N James Rd
Columbus, OH 43219-1834 - Phone
- (614) 257-5000
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 69133 | OH | Primary |
| Emergency Medicine Physician | 207P00000X | 69133 | OH | |
| Family Medicine Physician | 207Q00000X | 69133 | OH |
Addresses
Primary practice location
420 N James Rd
Columbus, OH 43219-1834
Mailing address
8703 Belworth SQ
New Albany, OH 43054-9074
Phone (614) 313-6112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CA, TX, KY, ID, AZ, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031121000178 | OH | Practitioner - Emergency Medicine | 0941104913 | Reassigns benefits to 1 organization |
| I20050729000267 | CA | Practitioner - Emergency Medicine | 0941104913 | Reassigns benefits to 1 organization |
| I20060705000278 | TX | Practitioner - Emergency Medicine | 0941104913 | Reassigns benefits to 2 organizations |
| I20140416000449 | KY | Practitioner - Emergency Medicine | 0941104913 | Reassigns benefits to 2 organizations |
| I20171026001918 | ID | Practitioner - Emergency Medicine | 0941104913 | Reassigns benefits to 4 organizations |
| I20230801002176 | AZ | Practitioner - Family Practice | 0941104913 | Reassigns benefits to 3 organizations |
| I20230905002421 | NM | Practitioner - Family Practice | 0941104913 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lost Rivers Medical Center
Practice addresses (Care Compare)
104 Legion Dr
Las Vegas, NM 87701-4804
Phone (505) 426-3500
1300 E Saunders St
Laredo, TX 78041-5832
Phone (956) 815-4470
1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone (928) 289-4691
2801 Cuatro Vientos Rd
Laredo, TX 78046-2318
Phone (956) 229-6100
551 Highland Dr
Arco, ID 83213-5003
Phone (208) 252-7654
Hospital & facility affiliations
- Mimbres Valley Medical Center
- Lost Rivers Medical Center
- Doctors Hospital of Laredo
- Alta Vista Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69133 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| Caribou Medical Center, Inc | Current | Accepting new patients | |
| Taos Health Systems Inc Holy Cross Hospital | Emergency Medicine | Current | Accepting new patients |
| Can Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Lost Rivers Medical Center | Family Medicine | Current | Accepting new patients |
| Caribou Medical Center, Inc | Current | Accepting new patients | |
| Lost Rivers Medical Center | Current | Accepting new patients | |
| Can Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Floyd Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current | Accepting new patients | |
| Southwest Emergency Medical Associates of NM PC | Emergency Medicine | Current | Accepting new patients |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current | Accepting new patients | |
| Coast to Coast Wisconsin LLC | Emergency Medicine | Current | Accepting new patients |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Fayette County Memorial Hospital | Family Medicine | Past | Accepting new patients |
| Immediate Health Associates | Emergency Medicine | Past | Accepting new patients |
| Mid-Ohio Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Last Frontier Healthcare District | Past | Accepting new patients | |
| Lost Rivers Medical Center | Family Medicine | Past | Accepting new patients |
| Adena Fayette Medical Center | Past | Accepting new patients | |
| Ross Emergency Group PC, Inc | Emergency Medicine | Past | Accepting new patients |
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients | |
| Marion Physician Billing LLC | Emergency Medicine | Past | Accepting new patients |
| Muskingum Emergency Physicia | Emergency Medicine | Past | Accepting new patients |
| Pike County Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
| Marion General Hospital Foundation, Inc. | Emergency Medicine | Past | Accepting new patients |
| Circleville Emergency Physicians Inc. | Emergency Medicine | Past | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
Locations
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
221 W Second St
Winslow, AZ 86047
Phone (928) 289-4371
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700
300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700
5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
5195 Hampsted Village Center Way
New Albany, OH 43054
Phone (614) 420-6554
Interoperability endpoints
- mark.bolton.2@11894.direct.athenahealth.com
- mark.bolton@avera.sdhealthlink.net
- mbolto01@yourcarecommunity.org
Organizations & group practices 32
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.
-
- Emergency Medicine Physician
- Las Vegas, NM
- NPI 1679112130
Emergency Medicine, NM
-
- Emergency Medicine Physician
- Panorama City, CA
- NPI 1265810006
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Prestonsburg, KY
- NPI 1760834345
Emergency Medicine, KY
-
- Rural Acute Care Hospital
- Ganado, AZ
- NPI 1477735777
AZ
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
Emergency Medicine, NM
-
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
Emergency Medicine, NM
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1790785152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8703 BELWORTH SQ",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430549074",
"telephone_number": "614-313-6112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N JAMES RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432191834",
"telephone_number": "614-257-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "MARK",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "69133",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "69133",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "69133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.
- 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.