Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629505193 Individual Practitioner Male Practitioner

Mark Andrew Bolois

Registered Nurse • Clinton, OH

Professional Overview & Biography Verified Profile Summary

Mark Bolois is a registered healthcare professional specializing in Registered Nurse in Clinton, OH. Practice services are available at 6694 TAYLOR RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6694 Taylor Rd

Clinton, OH 442169201

Telephone 3308255202
Fax 2346786919
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Clinton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Clinton, OH (9958 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

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OH RN.470099

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

State License OH 143671

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1821411273 (OH)

Practice Associates & Co-Workers

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

15 Associated Practitioners
Allia Anderson , LPN

Licensed Practical Nurse

NPI 1043186216

Licensed Practical Nurse

Joe Farris , LPN

Licensed Practical Nurse

NPI 1134667629

Licensed Practical Nurse

Benjamin Dunlap

Counselor - Addiction (Substance Use Disorder)

NPI 1164013454
Brandon Hart , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1356840276

Chemical Dependency Counselor Assistant

Thomas Tyus , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1407386121

Chemical Dependency Counselor Assistant

William White

Counselor - Addiction (Substance Use Disorder)

NPI 1417456716

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address October 30, 2019

Registered at 8350 SHADY LANE DR, BROADVIEW HTS, OH 441471638 (Tel: 3307157671)

NPI Profile Active May 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2017

Registered at 6694 TAYLOR RD, CLINTON, OH 442169201 (Tel: 3308255202)

📍
Updated Business Mailing Address May 16, 2017

Registered at 6150 WAREHAM DR, PARMA, OH 441294502 (Tel: 3307157671)

👤
Provider Name / Credentials Updated May 16, 2017

Recorded as MARK BOLOIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2017

Licensed Practical Nurse (License #143671 in OH)

🟢
Initial NPI Registration & Enumeration May 16, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1629505193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2017
Last Update: October 30, 2019
Sole Proprietor: Yes

Mailing Address

8350 Shady Lane Dr

Broadview Hts, OH 441471638

Phone: 3307157671

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.