Dr. Jose M Bolanos , MD PA
Physician Assistant • Mt Vernon, AL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jose Bolanos has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jose Bolanos, MD PA was a registered Physician Assistant practicing in Mt Vernon, AL. Throughout an active medical career spanning 15 years, Dr. Bolanos provided care at the practice location at 725 E COY SMITH HIGHWAY until profile deactivation on 2021-08-06.
Practice Location & Contact Primary Location
725 E Coy Smith Highway
Mt Vernon, AL 36560
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Mt Vernon, AL
Practicing in Mt Vernon, AL (1153 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychiatry & Neurology - Psychiatry
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Social Worker - Clinical
Licensed Clinical Social Worker
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Social Worker - Clinical
LCSWPIP
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 06, 2021
NPI status registered as active in NPPES database
Registered at 725 E COY SMITH HIGHWAY, MT VERNON, AL 36560 (Tel: 2516626700)
Registered at 725 E COY SMITH HIGHWAY, MT VERNON, AL 36560 (Tel: 2516626700)
Recorded as JOSE BOLANOS, MD PA
Physician Assistant (License #PA64 in AL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
725 E Coy Smith Highway
Mt Vernon, AL 36560
Phone: 2516626700
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