DOLLY ALBERT BOUGHABA (NPI# 1376582221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376582221 |
| Entity Type | Individual |
| Full Name | DOLLY ALBERT BOUGHABA |
| Credential | MD |
| Practice Address |
405 Southwind Ln Ludlow KY 41016-1715 |
| Practice Telephone | 5134702777 |
| Mailing Telephone | 5134702777 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01072116A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000804952 | 01 |
| IN | 200388530 | 05 |
| Street Address |
405 SOUTHWIND LN |
| City | LUDLOW |
| State | KY |
| Zip Code | 41016-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581670 | Bromley Volunteer Fire Dept Inc | Ambulance | 226 Boone St, Bromley, KY 41016-1219 | 2005-07-13 |
| 1043635915 | Brittany Hinzman | Community Health Worker | 231 Kenton St, Bromley, KY 41016-1230 | 2014-02-28 |
| 1598897183 | Barbara Jean Sweeney | Case Manager/Care Coordinator | 535 Oak St, Ludlow, KY 41016-1317 | 2007-03-10 |
| 1760959639 | Ludlow Board of Education | Local Education Agency (LEA) | 525 Elm St, Ludlow, KY 41016-1365 | 2018-10-30 |
| 1447258421 | City of Ludlow | Ambulance | 234 Oak Street, Ludlow, KY 41016-1415 | 2005-07-13 |
| 1457798696 | Gerald Matthew Holloway | Specialist/Technologist | 427 Victoria St, Ludlow, KY 41016-1445 | 2013-05-29 |
| 1134258890 | Jim Litmer | Pharmacist | 301 Elm Street, Ludlow, KY 41016-1450 | 2007-03-05 |
| 1437364452 | Michael Edward Farrell | Pharmacist | 301 Elm St, Ludlow, KY 41016-1450 | 2007-05-12 |
| 1720200413 | Barbara S Young | Pharmacy Technician | 301 Elm St, Ludlow, KY 41016-1450 | 2007-05-03 |
| 1639319643 | Northern Kentucky Independent District Health Department | Public Health or Welfare | 150 Adela Ave, Ludlow, KY 41016-1469 | 2009-03-03 |
| Find all providers in zip 41016 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215469366 | Paige Elise Sutton | Psychiatry & Neurology | 740 S Limestone Rm L-445, Lexington, KY 40536 | 2017-03-29 |
| 1356872238 | Fred Ochieng Odago | Psychiatry & Neurology | 3518 Willowood Rd, Lexington, KY 40517-2760 | 2017-03-23 |
| 1558811323 | Kentucky Medical Center, Psc | Psychiatry & Neurology | 208 Legends Ln, Suite 130, Lexington, KY 40505-3285 | 2016-10-05 |
| 1114372141 | Marwa Ali Mahgoub Elnazeir | Psychiatry & Neurology | 401 E Chestnut St Ste 500, Louisville, KY 40202-5700 | 2016-04-27 |
| 1427411537 | James Lamb | Psychiatry & Neurology | 500 S Preston St Dept Of, Hsc #113, Louisville, KY 40202-1702 | 2016-04-05 |
| 1194111807 | Murali Kolikonda | Psychiatry & Neurology | 500 S. Preston St., Rm. 113, Louisville, KY 40202 | 2015-04-09 |
| 1366852311 | Ruta Nandan Yardi | Psychiatry & Neurology | 740 S Limestone Ste B101, Lexington, KY 40536-0284 | 2014-04-30 |
| 1639511041 | Sushanth Rao Aroor | Psychiatry & Neurology | 740 S Limestone L445, Lexington, KY 40508-0284 | 2013-07-26 |
| 1629412150 | Lei Zhou | Psychiatry & Neurology | 740 S Limestone Room L-445, Lexington, KY 40536-1200 | 2013-04-26 |
| 1629344882 | Patricia A Kleinholz-owens | Psychiatry & Neurology | 1800 Nicholasville Rd Ste 301, Lexington, KY 40503-1443 | 2012-03-31 |
| Find all providers with the same taxonomy | ||||
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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.