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Deactivated NPI 1790755957 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas P Boldon , MD

Allergy & Immunology • Columbus, OH

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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. Douglas Boldon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2006
NPI Deactivation Date August 04, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Boldon, MD was a registered Allergy & Immunology practicing in Columbus, OH. Throughout an active medical career spanning 16 years, Dr. Boldon provided care at the practice location at 8080 RAVINES EDGE CT until profile deactivation on 2022-08-04.

Practice Location & Contact Primary Location

Practice Address

8080 Ravines Edge Ct

Columbus, OH 432355424

Telephone 6148465944
Fax 6148466504
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Allergy & Immunology in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Columbus, OH (137 Statewide)

Telehealth Adoption Rate
33.3% 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

Allergy & Immunology Primary Specialty

NUCC Taxonomy Code: 207K00000X

State License OH 35-03-0951

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Grace Ryu , MD

Allergy & Immunology

NPI 1215907480

Doctor of Medicine (M.D.)

Dr. Joseph Bullock , MD

Allergy & Immunology

NPI 1467432666

Doctor of Medicine (M.D.)

Dr. Samantha Gendelman , MD

Allergy & Immunology

NPI 1477758886

Doctor of Medicine (M.D.)

Dr. Debora Ortega-Carr , MD

Allergy & Immunology

NPI 1497725667

Doctor of Medicine (M.D.)

Dr. Michael Franz , MD

Allergy & Immunology

NPI 1508836545

Doctor of Medicine (M.D.)

Dr. Dana Esham , MD

Allergy & Immunology

NPI 1710181375

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 04, 2022

Record deactivated on August 04, 2022

NPI Profile Active November 15, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 15, 2007

Registered at 8080 RAVINES EDGE CT, COLUMBUS, OH 432355424 (Tel: 6148465944)

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Updated Business Mailing Address November 15, 2007

Registered at 8080 RAVINES EDGE CT, COLUMBUS, OH 432355424 (Tel: 6148465944)

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Provider Name / Credentials Updated November 15, 2007

Recorded as DOUGLAS BOLDON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2007

Allergy & Immunology (License #35-03-0951 in OH)

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Initial NPI Registration & Enumeration January 23, 2006

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: 1790755957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2006
Last Update: November 15, 2007
Deactivation Date: August 04, 2022

Mailing Address

8080 Ravines Edge Ct

Columbus, OH 432355424

Phone: 6148465944

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

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