MARK JAMES BOLTON M.D. NPI 1790785152

NPI Information

  • NPI: 1790785152
  • Provider Name: MARK JAMES BOLTON, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 N JAMES RD
    COLUMBUS, OH
    ZIP 43219
  • Phone: (614) 257-5000

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NPI Details

Mark James Bolton, M.D. is a general practice in Columbus, OH with 31 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Mark James Bolton, M.D. NPI is 1790785152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

420 N JAMES RD
COLUMBUS, OH
ZIP 43219-834
Phone: (614) 257-5000

The NPI 1790785152 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 7/28/2005 and was last updated on 4/12/2016.

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
1207P00000XEmergency Medicine69133OHIONo
2207Q00000XFamily Medicine69133OHIONo
3208D00000XGeneral Practice69133OHIOYes

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: 3/30/2025

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