DR. HOUSSAM BOULOUSSA (NPI# 1023664273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023664273 |
| Entity Type | Individual |
| Full Name | DR. HOUSSAM BOULOUSSA |
| Credential | MD, MS |
| Practice Address |
4401 Penn Avenue Faculty Pavilion, 4th Floor, Room 4135 Pittsburgh PA 15224 |
| Mailing Address |
3600 Forbes Ave Ste 140 Pittsburgh PA 15213-3410 |
| Practice Telephone | 4126926868 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MT219299 | PA | Student, Health Care |
| Street Address |
4401 PENN AVENUE FACULTY PAVILION, 4TH FLOOR, ROOM 4135 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363129 | Sarah Drewes | Genetic Counselor, MS | 4401 Penn Avenue, Faculty Pavilion Suite 1200, Pittsburgh, PA 15224 | 2020-10-15 |
| 1043831142 | Christine Debra Munro | Genetic Counselor, MS | 4401 Penn Avenue, Aob Suite 1300, Rm 1308, Pittsburgh, PA 15224 | 2020-04-29 |
| 1942850144 | Rebecca Zanecosky | Registered Nurse | 4401 Penn Avenue, Plaza Builiding 4th Floor, Pittsburgh, PA 15224 | 2019-09-19 |
| 1184289399 | Theresa Christine Barrett | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue, Pittsburgh, PA 15224 | 2019-05-02 |
| 1316501224 | Katheryn Nissa Hannaford Schloss | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue, Pittsburgh, PA 15224 | 2019-04-25 |
| 1528553682 | Jerrah Maria Swanson | Physician Assistant | 4401 Penn Avenue, Pittsburgh, PA 15224 | 2018-06-29 |
| 1235627928 | Oana M. Barbu | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue, Aob Suite 5400, Pittsburgh, PA 15224 | 2018-04-27 |
| 1578050118 | Mariana Correia Marques | Pediatrics | 4401 Penn Avenue, Pittsburgh, PA 15224 | 2018-04-19 |
| 1972090645 | Michael S. Zhang | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue, Aob Suite 5400, Pittsburgh, PA 15224 | 2018-04-18 |
| 1033635859 | Emily Jo Venskytis | Audiologist | 4401 Penn Avenue, 3rd Floor, Alligator, Pittsburgh, PA 15224 | 2017-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129862 | Philip Andrus | Student in an Organized Health Care Education/Training Program | 3420 Forbes Ave Fl 2, Pittsburgh, PA 15213-3203 | 2020-09-17 |
| 1457964439 | Alexis Antosik | Student in an Organized Health Care Education/Training Program | 5150 Lougean Ave, Pittsburgh, PA 15207-2152 | 2020-08-28 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1013532530 | Filip Istvanic | Student in an Organized Health Care Education/Training Program | 5200 Centre Ave, Shea Medical Center, Pittsburgh, PA 15232 | 2020-06-10 |
| 1689297327 | Moeza A Seager | Student in an Organized Health Care Education/Training Program | 320 E North Ave Ste 109, Pittsburgh, PA 15212-4772 | 2020-05-28 |
| 1548883309 | Samantha Lee Blue | Student in an Organized Health Care Education/Training Program | 1609 White Oak Ct, Pittsburgh, PA 15237-6701 | 2020-05-27 |
| 1720601669 | Matthew Gross | Student in an Organized Health Care Education/Training Program | Shea Medical Center, 5200 Centre Ave, Pittsburgh, PA 15232 | 2020-05-27 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1033732433 | Joshua Franklin Coutinho | Student in an Organized Health Care Education/Training Program | 1515 Locust Street First Floor Mercy Health Clinic, Pittsburgh, PA 15219-5114 | 2020-05-20 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.