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DR. AMY G BOLMER D.O. NPI 1366494270


NPI Information

NPI: 1366494270
Provider Name: DR. AMY G BOLMER, D.O.
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
510 ASHMUN ST
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 632-6013
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DR. Amy G Bolmer, D.O. is a medical oncology internal medicine in Sault Sainte Marie, MI with 28 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. DR. Amy G Bolmer, D.O. NPI is 1366494270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1996

The provider's business location address is:

510 ASHMUN ST
SAULT SAINTE MARIE, MI
ZIP 49783-964
Phone: (906) 632-6013

The NPI 1366494270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 5/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical Oncology5101013135MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200000001266OTHERMICHIGANPHYSICIANS HEALTH PLAN
2383267121OTHERMICHIGANPPOM
31009476OTHERMICHIGANMCLAREN HEALTH ADVANTAGE
436-70041OTHERMICHIGANPHP FAMILY CARE
5383267121OTHERMICHIGANPHCS
64530050MEDICAIDMICHIGAN
71153310564OTHERMICHIGANBCBS/BCN
836-00041OTHERMICHIGANPHP
9P00122957OTHERMICHIGANRAILROAD MEDICARE
10H31666MEDICARE UPINMICHIGAN
11383267121OTHERMICHIGANSPHN
127541326OTHERMICHIGANAETNA
13M76680003MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.