OLGA BOUDOULAS (NPI# 1386812519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386812519 |
| Entity Type | Individual |
| Full Name | OLGA BOUDOULAS |
| Credential | MD |
| Practice Address |
5965 E Broad St Suite 290 Columbus OH 43213-1562 |
| Mailing Address |
700 Ackerman Rd Suite 385 Columbus OH 43202-1559 |
| Practice Telephone | 6148648302 |
| Mailing Telephone | 6149473700 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35054149 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
5965 E BROAD ST SUITE 290 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213-1562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962400044 | Coa Asc of Franklin County LLC | Clinic/Center | 5965 E Broad St, Suite 460, Columbus, OH 43213-1562 | 2005-07-12 |
| 1922432434 | Jessica Turner | Physician Assistant | 5965 E Broad St, Columbus, OH 43213 | 2013-09-03 |
| 1356612352 | Lauren Nicole Woods | Physician Assistant | 5965 E Broad St, Columbus, OH 43213-1562 | 2012-01-23 |
| 1184867756 | Ellen Hunter Bailey | Colon & Rectal Surgery | 5965 E Broad St, Suite #250, Columbus, OH 43213-1562 | 2009-04-13 |
| 1003052812 | Mount Carmel Health Providers Two, LLC | Psychologist | 5965 E Broad St, Suite 370, Columbus, OH 43213-1562 | 2008-12-29 |
| 1104001189 | Tariq Gill | Internal Medicine | 5965 E Broad St, Suite 260, Columbus, OH 43213-1562 | 2008-01-08 |
| 1104012954 | Laura Lynn Miller | Physical Therapist | 5965 E Broad St, Suite 390, Columbus, OH 43213-1562 | 2007-09-14 |
| 1184833436 | Patricia Christine Garcia | Psychiatry & Neurology | 5965 E Broad St, Suite 260, Columbus, OH 43213-1562 | 2007-05-22 |
| 1316153943 | Debra Jean Orellana | Specialist | 5965 E Broad St, Suite 390, Columbus, OH 43213-1562 | 2007-05-14 |
| 1609096718 | Regan Frank Miller | Psychiatry & Neurology | 5965 E Broad St, Suite 260, Columbus, OH 43213-1562 | 2007-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
| Find all providers in zip 43213 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174972434 | West Georgia Medical Associates | Dermatology | 6600 Whittlesey Blvd Bldg A, Columbus, GA 31909-7251 | 2016-06-08 |
| 1770958092 | Diagnostic Dermatopathology | Dermatology | 2101 Brookstone Centre Pkwy, Ste 300, Columbus, GA 31904-9254 | 2015-12-11 |
| 1912379421 | Danielle Wiseley | Dermatology | 1150 Brookstone Centre Parkway, Columbus, GA 31904-4577 | 2015-10-22 |
| 1538503255 | Natalie Grace Spaccarelli | Dermatology | 1328 Dublin Rd Ste 100, Columbus, OH 43215-1054 | 2013-04-24 |
| 1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
| 1588977912 | Jessica Amie Kaffenberger | Dermatology | 540 Office Center Pl, Suite 240, Columbus, OH 43230-5317 | 2010-07-14 |
| 1821329616 | Comprehensive Skin Cancer Center | Dermatology | 1339 La Rochelle Dr, Columbus, OH 43221-1531 | 2010-01-19 |
| 1982836037 | Bethany R Hairston Md | Dermatology | 724 Leigh Drive, Columbus, MS 39705-3098 | 2009-08-21 |
| 1205011574 | Sandra Jones Wu Md Inc | Dermatology | 1194 Old Henderson Rd Ste A, Columbus, OH 43220-3694 | 2008-01-07 |
| 1477767846 | Monique Elise Kademian | Dermatology | 2100 Marble Cliff Office Park, Columbus, OH 43215-1056 | 2007-05-09 |
| Find all providers in COLUMBUS | ||||
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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.