MEDICARE: MS. MARY ELIZABETH BOLTON DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	36 002693	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	480032480	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1218328	OTHER		CHA HEALTH
2	611341106	OTHER		UNITED
3	611341106	OTHER		HUMANA
4	611341106	OTHER		FIRST HEALTH
5	611341106	OTHER		BLUEGRASS HEALTH
6	000000050343	OTHER	KY	ANTHEM

General Provider Information

NPI Number	:	1912909581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY ELIZABETH BOLTON DPM

Provider Business Mailing Address
First Line	:	1 S MAIN ST
Second Line	:	SUITE 1
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44022-3225
Country	:	US
Telephone Number	:	440-893-8800
Fax Number	:	440-893-9422

Provider Business Practice Location Address
First Line	:	1 S MAIN ST
Second Line	:	SUITE 1
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44022-3225
Country	:	US
Telephone Number	:	440-893-8800
Fax Number	:	440-893-9422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/01/2014

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1407889918 — DR. GEORGE W HEATHCOTE DC
Practice Location Address:

1 S MAIN ST STE 1
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 440-893-8800
Practice Fax: 440-893-9422

1013229392 — DR. ROBIN TONI SLOTNICK D.C.
Practice Location Address:

1 S MAIN ST
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 440-893-8800
Practice Fax: 440-893-9422

1598062457 — GEORGE W. HEATHCOTE DC INC.
Practice Location Address:

1 S MAIN ST , SUITE 1
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 440-893-8800
Practice Fax: 440-893-9422

1851102834 — ST. BONAVENTURE ACADEMY
Practice Location Address:

1 S MAIN ST
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 216-536-2633
Practice Fax:

1922973502 — VITALPATH INITIATIVE
Practice Location Address:

1 S MAIN ST STE 7
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 216-202-5658
Practice Fax:

Directions to “ MS. MARY ELIZABETH BOLTON DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.