RYAN BOUDREAU


Address: 44 Binney St, Boston, MA 02115-6084
Phone: 5084511085

RYAN BOUDREAU (NPI# 1033741236) 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) 1033741236
Entity Type Individual
Full Name RYAN BOUDREAU
Credential PA-C
Practice Address 44 Binney St
Boston
MA 02115-6084
Mailing Address 101 Hancock St # 3
Somerville
MA 02144-2602
Practice Telephone 5084511085
Mailing Telephone 5084511085
Enumeration Date 2020-02-06
Last Update Date 2020-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA7435 MA Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
136 Harrison Ave, Boston, MA 021111817 6176367000

Other Providers RYAN BOUDREAU

NPI Name Taxonomy Address Enumeration
1093194284 Ryan Boudreau Physician Assistant 6955 Golfcrest Dr, Apt 1030, San Diego, CA 92119-2470 2015-05-21
1770902074 Ryan Boudreau Student in an Organized Health Care Education/Training Program Uc Medical Center Department of Surgery, 231 Albert Sabin Way Ml0558, Cincinnati, OH 45267-0558 2014-04-15
1346595998 Ryan James Boudreau Pharmacist 4500 Veterans Memorial Blvd, T-1449, Metairie, LA 70006-5330 2012-07-19

Office Location

Street Address 44 BINNEY ST
City BOSTON
State MA
Zip Code 02115-6084

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912900507 Carlos Rodriguez-galindo Pediatrics 44 Binney St, Sw350, Boston, MA 02115-6013 2005-05-27
1689125536 Raquel Donnelly Physician Assistant 44 Binney St, Boston, MA 02115-6013 2016-10-16
1174971972 Lindsay Hoyt Nurse Practitioner 44 Binney St, Boston, MA 02115-6013 2016-06-02
1356725006 Ross Pinter Physician Assistant 44 Binney St, Boston, MA 02115-6013 2015-07-13
1184046583 Zi Yazan Alabed Student in an Organized Health Care Education/Training Program 44 Binney St, Radiology, Dana-farber Cancer Institute, Boston, MA 02115-6013 2014-01-20
1790048072 Chantel Danielle Cacciotti Student in an Organized Health Care Education/Training Program 44 Binney St, Boston, MA 02115-6084 2012-06-21
1346510138 Hilary Donahue Physician Assistant 44 Binney St, Boston, MA 02115-6013 2012-01-10
1073817524 Elgene Lim Internal Medicine 44 Binney St, Yawkey 1242, Boston, MA 02446 2010-12-27
1477853372 Alexis Exarhopoulos Landry Physician Assistant 44 Binney St, Hematology Oncology, Boston, MA 02115-6013 2010-10-25
1144548090 Phuong My Nguyen Pharmacist 44 Binney St, Boston, MA 02115-6013 2010-05-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
Find all providers in zip 02115

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205435393 Allison Lee Nocon Physician Assistant 289 Beacon St Apt 8, Boston, MA 02116-1263 2020-10-20
1336746775 Lee T Gernon-lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1639781230 Amanda Mae Saxton Physician Assistant 1410 Columbia Rd Apt 8g, Boston, MA 02127-4016 2020-08-17
1336757137 Sabrina J Jamiel Physician Assistant 144 Calumet St Apt 3, Boston, MA 02120-3378 2020-07-17
1811505969 Matthew George Cronin Physician Assistant 105 Landseer St, Boston, MA 02132-3436 2020-07-15
1902420284 Rebecca Lee Physician Assistant 89 Chester St Apt A5, Boston, MA 02134-2219 2020-06-03
1982239430 Catherine Dam Physician Assistant 357 Commercial St Apt 420, Boston, MA 02109-1236 2020-03-05
1033742390 Melissa Stathas Physician Assistant 32 Fruit St Bldg 5th, Boston, MA 02114-2620 2020-02-14
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1275184905 Danielle Dacunha Physician Assistant 42 Worcester Sq Apt 10, Boston, MA 02118-2920 2019-09-24
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02115

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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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