DR. ROGER JOSEPH BOULAY (NPI# 1164555983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164555983 |
| Entity Type | Individual |
| Full Name | DR. ROGER JOSEPH BOULAY |
| Credential | M.D. |
| Practice Address |
17 Split Rock Rd Pittsford NY 14534-1813 |
| Practice Telephone | 5855862003 |
| Practice Fax Number | 5852760054 |
| Mailing Telephone | 5855862003 |
| Mailing Fax Number | 5852760054 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 086043-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
17 SPLIT ROCK RD |
| City | PITTSFORD |
| State | NY |
| Zip Code | 14534-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273882 | Arbor Health Inc | Nutritionist | 613 Pittsford Victor Rd, Pittsford, NY 14534 | 2020-07-23 |
| 1619448990 | Azita Anissi Dds | Dentist | 121 Sullys Trail Suite 1, Pittsford, NY 14534 | 2018-12-11 |
| 1831697309 | Meaza Teklemariam | Registered Nurse | 2 Pin Hook Lane, Pittsford, NY 14534 | 2018-01-30 |
| 1386099356 | Bryan Robert Harrison | Psychologist | 610 Pittsford Victor Rd, Pittsford, NY 14534 | 2016-04-27 |
| 1942677323 | Dr. Anthony L. Ricci, Dds | Dentist | 135 Sully's Trail Suite 1, Pittsford, NY 14534 | 2015-09-01 |
| 1164782132 | George Francis Walsh Jr. | Obstetrics & Gynecology | 16 Kerrygold Way, Pittsford, NY 14534 | 2012-05-23 |
| 1346531878 | Samantha Lynne Saccento | Massage Therapist | 135 Sully's Trail Suite 6, Pittsford, NY 14534 | 2011-05-02 |
| 1093027252 | Brandon James Erdle | Dermatology | 6 Rambling Woods, Pittsford, NY 14534 | 2010-07-05 |
| 1760711576 | Finger Lakes Infectious Diseases, Pllc | Internal Medicine | 10 Brakenberry Road, Pittsford, NY 14534 | 2009-12-08 |
| 1477789030 | Mary Lou Testa | Counselor | 20 Tobey Village Way, Suite 7, Pittsford, NY 14534 | 2009-06-09 |
| Find all providers in zip 14534 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1497254254 | Vineeta Sinha Baronos | Internal Medicine | 65 Monroe Ave Ste D, Pittsford, NY 14534-1318 | 2018-02-07 |
| 1801292800 | Midtown East Medical Services, PC | Internal Medicine | 1163 Pittsford Victor Rd Ste 140, Pittsford, NY 14534-3833 | 2014-11-18 |
| 1225200868 | Anne Louise Huber | Internal Medicine | 19 Elatia Cir, Pittsford, NY 14534 | 2008-03-24 |
| 1952511016 | Richard Walter Freeman | Internal Medicine | 10 Greylock Rdg, Pittsford, NY 14534-2318 | 2007-05-23 |
| 1558405597 | Carl Michael Devore | Internal Medicine | 9 Split Rock Rd, Pittsford, NY 14534-1813 | 2007-02-15 |
| 1124109863 | Robert Charles Mcveigh | Internal Medicine | 3 Hogan Ct, Pittsford, NY 14534 | 2006-10-18 |
| 1497761696 | Sushil Kumar Saha | Internal Medicine | 18 Widewaters Ln, Pittsford, NY 14534-1024 | 2006-07-31 |
| 1376509240 | Gene M. Zito | Internal Medicine | 61 Monroe Ave, Suite A, Pittsford, NY 14534-1311 | 2006-04-21 |
| 1770586927 | Dina P Kringstein | Internal Medicine | 2300 W Jefferson Rd Ste 400, Pittsford, NY 14534-1090 | 2005-05-23 |
| 1861933012 | Meghana Anugu | Internal Medicine | 2300 W Jefferson Rd Ste 400, Pittsford, NY 14534-1090 | 2017-03-20 |
| Find all providers in PITTSFORD | ||||
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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.