NINO BOALS (NPI# 1164660791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164660791 |
| Entity Type | Individual |
| Full Name | NINO BOALS |
| Credential | M.D. |
| Practice Address |
877 Jefferson Ave Memphis TN 38103-2807 |
| Practice Telephone | 9014484454 |
| Mailing Telephone | 9014484454 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
47060 | TN | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
238762 | MA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
N6859 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
877 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225590 | Clare L Mccarthy | Emergency Medicine | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2005-06-14 |
| 1508466467 | Ryain Alexander | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-10-29 |
| 1366049132 | Shruti Elizabeth Anthony | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-10-05 |
| 1750998464 | Matthew Porch | Radiologic Technologist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-26 |
| 1851906101 | Stephanie Marie Baggett | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-14 |
| 1275148561 | Suzanne D Moyer | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-13 |
| 1760094999 | Adriann Skeen | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-08-19 |
| 1578181434 | Erika Gruber | Pharmacist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-07-08 |
| 1740800267 | Katara Evonne Jackson | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-04-24 |
| 1891315560 | Emily Ann West | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801091434 | Scott Nyshin Hwang | Radiology | 262 Danny Thomas Place, Mail Stop 220, St Jude Children's Research Hospital, Memphis, TN 38105-3678 | 2007-06-14 |
| 1679796486 | Richard Ian Gray | Radiology | 865 Jefferson Ave # F150, Uthsc Dept. of Radiology, Memphis, TN 38103-2807 | 2007-04-10 |
| 1548422918 | Asim Kumar Bag | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105 | 2008-06-27 |
| 1295862837 | Zoltan Patay | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-02-28 |
| 1124120571 | Noah Sabin | Radiology | 262 Danny Thomas Pl, Mail Stop 220, Memphis, TN 38105-3678 | 2006-09-05 |
| 1508971995 | Stephen D Morris | Radiology | 6325 Humphreys Blvd, Semmes Murphey Clinic, Memphis, TN 38120 | 2006-08-19 |
| 1780641860 | James B Wood | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851480776 | James Koonce | Radiology | 1301 Sunset Dr Ste 3, Mountain Empire Radiology, Johnson City, TN 37604-7906 | 2006-10-11 |
| 1366490617 | Jeffrey A Simon | Radiology | 750 Old Hickory Blvd Ste 1-260, Brentwood, TN 37027-4528 | 2006-05-05 |
| 1538143383 | Mark R Shaw | Radiology | 3310 Aspen Grove Dr, Suite 203, Franklin, TN 37067 | 2005-12-05 |
| 1730520842 | David Mitchell Ray | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2013-07-17 |
| 1700220050 | Jacqueline Angel | Radiology | 7695 Poplar Pike Ste 101, Germantown, TN 38138-5947 | 2013-04-17 |
| 1134474711 | Allen Ardestani | Radiology | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2012-07-19 |
| 1851688063 | Christopher Jordan Dela Houssaye | Radiology | 400 N State of Franklin Rd, Johnson City, TN 37604 | 2011-07-08 |
| 1679701791 | Harry R. Hixson Jr. | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2009-06-26 |
| 1114152410 | Ernest Robin Gray IIi | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2009-05-16 |
| 1770725905 | Colin Mcknight | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2009-04-02 |
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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.