KELSEY AYNE BOULIER (NPI# 1417426867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417426867 |
Entity Type | Individual |
Full Name | KELSEY AYNE BOULIER |
Credential | MS, LAT, ATC |
Practice Address |
2900 S Hanover St Baltimore MD 21225-1232 |
Mailing Address |
7628 Laurel Dr Pasadena MD 21122-1912 |
Practice Telephone | 4108021197 |
Enumeration Date | 2018-11-15 |
Last Update Date | 2018-11-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
A0000588 | MD | Allopathic & Osteopathic Physicians |
Street Address |
2900 S HANOVER ST |
City | BALTIMORE |
State | MD |
Zip Code | 21225-1232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659348738 | Leigh A Curl | Orthopaedic Surgery | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2006-03-07 |
1740764331 | Taylor L Mannix | Clinic/Center | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2018-09-19 |
1114471976 | Chadd Baldwin | Physical Therapist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2016-08-10 |
1780045732 | Kellie Marie Pflugh-revels | Speech-Language Pathologist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2016-03-17 |
1144606641 | Rebecca Manning | Physical Therapist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2015-08-06 |
1306223276 | National Rehabilitation Hospital, Inc | Physical Therapist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2015-04-30 |
1114327574 | Greg Rosenberg | Physical Therapist | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2014-09-03 |
1164832747 | Melissa Foard Read | Specialist/Technologist | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2014-05-05 |
1356769954 | Ryan Cisek | Specialist/Technologist | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2014-04-01 |
1518384718 | Megan Bapisteller | Specialist/Technologist | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2014-03-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386120293 | Sumit Chhetri | Student in an Organized Health Care Education/Training Program | 3001 S. Hanover St, Department of Medicine, Baltimore, MD 21225 | 2018-07-13 |
1003334657 | Matthew Scott Leeney | Physician Assistant | Medstar Harbor Hospital 3001 S Hanover St, Baltimore, MD 21225 | 2017-09-05 |
1396281168 | Hasya Pearlman | Social Worker | 410 East Jeffrey Street, Baltimore, MD 21225 | 2017-01-17 |
1215484852 | Anta Kah | Nurse Practitioner | 3001 S. Hanover St, Baltimore, MD 21225 | 2016-09-01 |
1649629320 | Eddie Jung | Chiropractor | 541 E Patapsco Ave Ste 206, Baltimore, MD 21225 | 2016-06-03 |
1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
1871841304 | Rachel Anne Hinckley | Pharmacist | 5804 Governor Ritchie Highway, Baltimore, MD 21225 | 2012-08-15 |
1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
1053647354 | Adindu David Ezeocha | Pharmacist | 5804 Ritchie Hwy, Baltimore, MD 21225 | 2009-10-22 |
1700018090 | Gayathri Murthy | Internal Medicine | Medstar Harbor Hospital, 3001 S Hanover St, Baltimore, MD 21225 | 2009-08-20 |
Find all providers in zip 21225 |
Taxonomy Code | 207PS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Sports Medicine |
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
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 Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053760256 | Christine Safrit | Emergency Medicine | 222 Newport Dr, Severna Park, MD 21146-1326 | 2016-06-08 |
1639528839 | Rachel Shanks | Emergency Medicine | 911 Crystal Spring Farm Rd, Annapolis, MD 21403-1001 | 2016-06-08 |
1063993889 | Bailey E Lewis | Emergency Medicine | 566 Brownson Rd, Annapolis, MD 21402-5006 | 2018-08-29 |
1003203068 | Jacqueline Durst | Emergency Medicine | 101 Braddock Rd, Frostburg State University Kinesiology Department, Frostburg, MD 21532-2303 | 2015-04-16 |
1134380702 | Edward Joseph Kimlin | Emergency Medicine | 11915 Georgia Ave, Wheaton, MD 20902-2065 | 2008-06-17 |
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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.