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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
12754 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 248931 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669436796 | John G Boulet | Emergency Medicine | 101 Sivley Rd Sw, Em Dept, Huntsville, AL 35801-4421 | 2006-04-14 |
Street Address |
1714 W ANKLAM RD SUITE 104 |
City | TUCSON |
State | AZ |
Zip Code | 85745-2689 |
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 |
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 Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
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. |
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 |
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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.