BOUCHRA S DOUMET (NPI# 1164407532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164407532 |
| Entity Type | Individual |
| Full Name | BOUCHRA S DOUMET |
| Credential | MD |
| Practice Address |
6855 Spring Valley Dr #120 Holland OH 43528-8039 |
| Mailing Address |
4235 Secor Rd Toledo OH 43623-4231 |
| Practice Telephone | 4198653111 |
| Mailing Telephone | 4194733561 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2011-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35083437 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2524316 | 05 | |
| OH | RAILROAD MEDICARE | P00358429 | 01 |
| Street Address |
6855 SPRING VALLEY DR #120 |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-8039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590786 | Jonathan E Rohrs | Family Medicine | 6855 Spring Valley Dr, Ste 120, Holland, OH 43528-8039 | 2005-07-07 |
| 1407126980 | Susan Deborah Banning | Nurse Practitioner | 6855 Spring Valley Dr, Suite Number 120, Holland, OH 43528-8039 | 2011-12-30 |
| 1801880471 | Mahdi Nicola Doumet | Internal Medicine | 6855 Spring Valley Dr, #120, Holland, OH 43528-8039 | 2005-09-09 |
| 1932107562 | Nicholas M Lopez | Family Medicine | 6855 Spring Valley Dr, Ste 120, Holland, OH 43528-8039 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| 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 |
|---|---|---|---|---|
| 1689232308 | Andrea Born | Family Medicine | 6135 Trust Dr Ste 230, Holland, OH 43528-9360 | 2019-05-29 |
| 1407207376 | Michael Borenitsch | Family Medicine | 904 Washington Ave Ste 210, Holland, MI 49423-7724 | 2016-06-22 |
| 1497131775 | Springfield Urgent Care LLC | Family Medicine | 6819 Spring Valley Dr, Holland, OH 43528-9487 | 2015-08-10 |
| 1588925150 | Aria Health Physician Services | Family Medicine | 1496 Buck Rd, Suite A6, Holland, PA 18966-2626 | 2012-05-31 |
| 1962713974 | Duane J. Kerscher Jr., D.o. D.b.a. Springfield Clinic L.L.C. | Family Medicine | 8133 Airport Hwy, Holland, OH 43528-9060 | 2010-06-24 |
| 1912154097 | Stephen W Welk | Family Medicine | 11829 Matteson Corners Rd, Holland, NY 14080-9639 | 2008-08-20 |
| 1255525721 | Little Company of Mary Hospital of Indiana Inc. | Family Medicine | 303 North Meridian Street, Holland, IN 47541 | 2007-08-28 |
| 1134339161 | Village Shires Family Medicine | Family Medicine | 1496 Buck Rd Ste A6, Holland, PA 18966-2626 | 2007-05-22 |
| 1083737969 | Jill Miedema | Family Medicine | 382 120th Ave, Holland, MI 49424-2169 | 2007-04-07 |
| 1649319054 | Ryan Flamion | Family Medicine | 303 N Meridian Street, Holland, IN 47541 | 2007-02-05 |
| Find all providers in HOLLAND | ||||
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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.