DR. HOUSSAM BOULOUSSA


Address: 4401 Penn Avenue, Faculty Pavilion, 4th Floor, Room 4135, Pittsburgh, PA 15224
Phone: 4126926868

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4401 PENN AVENUE
FACULTY PAVILION, 4TH FLOOR, ROOM 4135
City PITTSBURGH
State PA
Zip Code 15224

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City PITTSBURGH
Zip Code 15224

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Dataset Information

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.

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