Active NPI
Thomas A Bolton, MD
- Anatomic Pathology & Clinical Pathology Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME41418
- Practice address
- 2013 Ponce de Leon Ave
West Palm Beach, FL 33407-6019 - Phone
- (561) 659-0770
- Fax
- (561) 802-3504
- NPI assigned
- Nov 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME41418 | FL | Primary |
Addresses
Primary practice location
2013 Ponce de Leon Ave
West Palm Beach, FL 33407-6019
Mailing address
2013 Ponce de Leon Ave
West Palm Beach, FL 33407-6019
Phone (561) 659-0770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07475 | Other | FL | BLUE CROSS BLUE SHIELD |
| 373307600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of South Florida College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Palm Beach Pathology, PA
Practice addresses (Care Compare)
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-4487
1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 642-2998
310 SE Veranda Falls Way
Port Saint Lucie, FL 34984-2101
Phone (772) 309-8581
3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 642-2998
5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 495-3185
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 642-2998
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME41418 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Pathology PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Palm Beach Pathology, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Palm Beach Pathology, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Acupath Inc | Past | Accepting new patients | |
| Treasure Coast Pathology, PA | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
300 SE Hospital Ave
Stuart, FL 34994
Phone (772) 220-1391
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
2013 Ponce de Leon Ave
West Palm Beach, FL 33407
Phone (561) 659-0770
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
Interoperability endpoints
- tbolton274400@mhsdirect.net
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- West Palm Beach, FL
- NPI 1912172024
-
- Anatomic Pathology & Clinical Pathology Physician
- Palm Beach Gardens, FL
- NPI 1720253198
-
- Anatomic Pathology & Clinical Pathology Physician
- West Palm Beach, FL
- NPI 1922273317
-
- Anatomic Pathology & Clinical Pathology Physician
- Stuart, FL
- NPI 1437454964
-
- Clinical Medical Laboratory
- Vero Beach, FL
- NPI 1396875936
-
- Anatomic Pathology & Clinical Pathology Physician
- Jupiter, FL
- NPI 1770158248
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1003618406
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1952333205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1871574665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 PONCE DE LEON AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076019",
"telephone_number": "561-659-0770",
"fax_number": "561-802-3504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 PONCE DE LEON AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076019",
"telephone_number": "561-659-0770",
"fax_number": "561-802-3504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME41418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07475",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373307600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.