DR. PHILIP C BOULANGER (NPI# 1083685366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083685366 |
| Entity Type | Individual |
| Full Name | DR. PHILIP C BOULANGER |
| Credential | MD |
| Practice Address |
5236 Timber Hollow Pl Glen Allen VA 23060-2846 |
| Mailing Address |
1891 Virginia Ave Harrisonburg VA 22802-8374 |
| Practice Telephone | 8043892606 |
| Mailing Telephone | 8043892606 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101057867 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
5236 TIMBER HOLLOW PL |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275954588 | Christopher Newell | Family Medicine | 11357 Nuckols Rd, # 163, Glen Allen, VA 23059-5504 | 2014-01-04 |
| 1700048840 | Nermine Anwar Saleh | Family Medicine | 9851 Brook Rd, Glen Allen, VA 23059-4559 | 2008-06-30 |
| 1871702712 | Rumki Banerjee | Family Medicine | 5310 Twin Hickory Rd Ste A, Glen Allen, VA 23059-5783 | 2007-05-21 |
| 1801933007 | Zelda West Johnson | Family Medicine | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 | 2007-01-30 |
| 1881792661 | Advanced Family Practice | Family Medicine | 11453 Abbots Cross Ln, Glen Allen, VA 23059-1102 | 2006-09-20 |
| 1467563627 | Ali A Mollah | Family Medicine | 5310 Twin Hickory Rd, Glen Allen, VA 23059-5682 | 2006-08-31 |
| 1336157858 | Commonwealth Primary Care | Family Medicine | 4050 Innslake Dr, Ste 308, Glen Allen, VA 23060 | 2006-08-03 |
| 1275562720 | Michael A Dawson | Family Medicine | 9900 W Broad St, Suite C, Glen Allen, VA 23060-6512 | 2006-06-30 |
| 1215963715 | Brian C. Bittner | Family Medicine | 5416 Hillshire Way, Glen Allen, VA 23059-7143 | 2006-06-25 |
| 1871538967 | Stephen G. Read | Family Medicine | 10571 Telegraph Rd, Suite 210, Glen Allen, VA 23059-4652 | 2006-06-20 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
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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.