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JERRY JOE BOLEY M.D. NPI 1962465435


NPI Information

NPI: 1962465435
Provider Name: JERRY JOE BOLEY, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
4112 MONROE RD
CELINA, OH
ZIP 45828
Phone: (614) 580-8563
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Jerry Joe Boley, M.D. is a cardiovascular disease internal medicine in Celina, OH with 34 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jerry Joe Boley, M.D. NPI is 1962465435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

4112 MONROE RD
CELINA, OH
ZIP 45828-250
Phone: (614) 580-8563

The NPI 1962465435 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
  • Remote evaluations of defibrillator up to 90 days with analysis, review and report (HCPCS:93295)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93284)

The enumeration date for this NPI number is 4/7/2006 and was last updated on 3/11/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease35070190BOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000000014726OTHERANTHEM BCBS
2B00803837MEDICARE ID-TYPE UNSPECIFIED
3060038975OTHEROHIORAILROAD MEDICARE
412723OTHERNATIONWIDE
5289254OTHERBLACK LUNG
6BO0803834MEDICARE ID-TYPE UNSPECIFIED
72500965OTHERUNITED HEALTHCARE OF OHIO
8F93546MEDICARE UPIN
90307108MEDICAIDOHIO
10060038975OTHERRAILROAD MEDICARE
111330778OTHERCIGNA

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: 4/28/2024

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.