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SUSAN KAY BOLAND P.A.
NPI 1023136512
Physician Assistant in Darien, WI

Active since March 26, 2007
300 NORTH WASHINGTON STREET, DARIEN MEDICAL CLINIC, DARIEN, WI 53114(262) 882-1151(262) 296-1195 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Kay Boland P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN KAY BOLAND P.A. (NPI 1023136512) is an individual physician assistant in Darien, Wisconsin, licensed in Wisconsin (2122-23) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1023136512
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN KAY BOLANDCredential: P.A.
Location Address300 NORTH WASHINGTON STREET, DARIEN MEDICAL CLINICDarien, WI 53114-1534
Mailing Address1905 E. Huebbe Parkway, Beloit Health System IncBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 363-7395
Phone(262) 882-1151
Fax(262) 296-1195
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateMarch 8, 2011
✔ NPI 1023136512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WI · 2122-23✔ Licensed in IL · 085001543
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
300 NORTH WASHINGTON STREET, Darien, WI 53114
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Other Names 1

Former Name (1)Susan Kay Pendell-rogers Pa

Other Identifiers 1

Medicaid1023136512WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Boland's NPI number?

The NPI number for Susan Boland is 1023136512. It was assigned to this individual provider in the NPPES registry on March 26, 2007. The provider is also known as Susan Kay Pendell-Rogers PA.

Where is Susan Boland located?

Susan Boland practices at 300 North Washington Street Darien Medical Clinic, Darien, WI 53114. The listed phone number is (262) 882-1151.

What is Susan Boland's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Susan Boland was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.