Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194909069 Individual Practitioner Male Practitioner

Richard C Boleware , CP

Prosthetist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Richard Boleware, CP is a registered healthcare professional specializing in Prosthetist in Jackson, MS. Practice services are available at 2 OLD RIVER PL STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Old River Pl Ste D

Jackson, MS 392023435

Telephone 6019441130
Fax 6013557476
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Jackson, MS (24 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License MS CP003226

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1679916183
NPI 1871887653

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2015

Registered at 2 OLD RIVER PL STE D, JACKSON, MS 392023435 (Tel: 6019441130)

📍
Updated Business Mailing Address May 19, 2015

Registered at 2 OLD RIVER PL STE D, JACKSON, MS 392023435 (Tel: 6019441130)

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Provider Name / Credentials Updated May 19, 2015

Recorded as RICHARD BOLEWARE, CP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2015

Prosthetist (License #CP003226 in MS)

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Initial NPI Registration & Enumeration December 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194909069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2007
Last Update: May 19, 2015
Sole Proprietor: No

Mailing Address

2 Old River Pl Ste D

Jackson, MS 392023435

Phone: 6019441130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.