DR. JOHN E. BOULET


Address: 1714 W Anklam Rd, Suite 104, Tucson, AZ 85745-2689
Phone: 5208383540

DR. JOHN E. BOULET (NPI# 1053399881) 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) 1053399881
Entity Type Individual
Full Name DR. JOHN E. BOULET
Credential MD
Practice Address 1714 W Anklam Rd
Suite 104
Tucson
AZ 85745-2689
Mailing Address 3709 N Campbell Ave Ste 201
Tucson
AZ 85719-1563
Practice Telephone 5208383540
Practice Fax Number 5203253526
Mailing Telephone 5208382128
Mailing Fax Number 5208382260
Enumeration Date 2006-01-03
Last Update Date 2018-05-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
12754 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 248931 05

Other Providers JOHN BOULET

NPI Name Taxonomy Address Enumeration
1669436796 John G Boulet Emergency Medicine 101 Sivley Rd Sw, Em Dept, Huntsville, AL 35801-4421 2006-04-14

Office Location

Street Address 1714 W ANKLAM RD
SUITE 104
City TUCSON
State AZ
Zip Code 85745-2689

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720522774 Rachel Knight Registered Nurse 1714 W Anklam Rd, Tucson, AZ 85745-2689 2016-12-10
1164606448 Alexandre Miguel Benjo Internal Medicine 1714 W Anklam Rd, Suite #104, Tucson, AZ 85745-2689 2007-12-22
1508054321 Gerlinde S. Tynan, Md Pllc Surgery 1714 W Anklam Rd, Suite 100, Tucson, AZ 85745-2689 2007-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629540679 El Rio Santa Cruz Neighborhood Health Center Inc Pharmacy 839 W Congress, Tucson, AZ 85745 2018-12-31
1194230672 Pascua Yaqui Tribe Community/Behavioral Health 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 2017-12-06
1891207106 Intermountain Health Center, Inc. Community/Behavioral Health 1100 W. Fresno Street, Tucson, AZ 85745 2017-10-26
1497270664 Skin Concierge, LLC. Dermatology 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 2017-08-09
1801334941 Katie Flores Physical Therapist 1604 W St Mary's Rd, Tucson, AZ 85745 2017-02-09
1558717348 Jeongfill Yun Student in an Organized Health Care Education/Training Program 8290 W Congress St., Tucson, AZ 85745 2016-05-11
1417317082 Nebsource LLC Durable Medical Equipment & Medical Supplies 4890 W Camino De La Amapola, Tucson, AZ 85745 2016-02-25
1548661358 Melinda Godoy Pharmacist 879 W Congress, Tucson, AZ 85745 2014-09-11
1811333925 Asdb Clinic/Center 1200 West Speedway, Tucson, AZ 85745 2013-05-15
1669722385 David L. Lewis Counselor 1779 W. St. Mary's Rd, Tucson, AZ 85745 2012-09-11
Find all providers in zip 85745

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407343841 Imran Ata Md Pllc Internal Medicine 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 2018-04-20
1235577636 Jennifer Juxiang Huang-tsang Internal Medicine 5170 E Glenn St Ste 130&160, Tucson, AZ 85712-1396 2013-06-06
1154663144 James Eugene Dalen Internal Medicine 5305 N Via Velazquez, Tucson, AZ 85750-5989 2013-03-18
1821369919 Roger Brian Johnson Internal Medicine 7595 E Placita Vista Del Bosque, Tucson, AZ 85715-3651 2012-01-20
1922313774 Tushar Acharya Internal Medicine 1501 N Campbell Ave Rm 5153, Tucson, AZ 85724-0001 2010-08-17
1144549510 Mark Ira Feldman, M.d. P.C. Internal Medicine 3801 N Campbell Ave Ste C, Tucson, AZ 85719-1448 2010-05-25
1114140738 Arizona Cardiovascular Specialists, P.C. Internal Medicine 1601 N Swan Rd, Tucson, AZ 85712-4046 2007-04-11
1578574232 Mohammad Reza Movahed Shariat Panahi Internal Medicine 6119 N Pinchot Rd, Tucson, AZ 85750-1297 2006-08-10
1275548000 Goldberg Medical Services Inc Internal Medicine 3130 N Swan Rd, Tucson, AZ 85712-1227 2006-07-30
1427079987 Timothy M Marshall Internal Medicine 5170 E Glenn St, Bldg 2, Ste. 160, Tucson, AZ 85712-1337 2006-07-21
Find all providers in TUCSON

Competitor

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City TUCSON
Zip Code 85745

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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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