RANDALL J. BOLAR M.D. – NPI #1558323246
Surgery
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
RANDALL BOLAR is a surgeon located in DETROIT LAKES, MN. NPPES has assigned the NPI number 1558323246 to RANDALL BOLAR on April 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.
The NPI profile was previously updated about 10 years ago on Dec 23, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL BOLAR below.
NPI Profile for
RANDALL J. BOLAR
(more than 20 years ago)
DETROIT LAKES, MN 56501-3409 Phone: (218) 847-5611 Fax: (218) 847-0881
Identifiers for RANDALL BOLAR
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AETNA | KY | 7774037 |
| OTHER | AMERICHOICE | TN | TN0125 |
| OTHER | AMERIGROUP | TN | 01281517 |
| OTHER | ANTHEM BC | KY | 000000069481 |
| OTHER | BCBS | TN | 4221186 |
| OTHER | CAQH | 10802394 | |
| OTHER | TRICARE | TN | 203500913011 |
| MEDICAID | KY | 64357130 | |
| MEDICAID | MN | 1558323246 | |
| MEDICAID | TN | 3338849 | |
| MEDICAID | TN | 1515147 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208600000X - Surgery (Primary) |
TN | 34949 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
RANDALL BOLAR is affiliated with the following medical group(s):
- HOSPITAL
- ESSENTIA HEALTH FOSSTON900 HILLIGOSS BOULEVARD SE
FOSSTON, MN 56542 - ESSENTIA HEALTH ST MARYS - DETROIT LAKES1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
- ESSENTIA HEALTH FOSSTON900 HILLIGOSS BOULEVARD SE
Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.
How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.
Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System.
See the complete CMS Data Dissemination Notice here.