JERRY E BOUQUOT


Address: 6516 Md Anderson Blvd, Rm #3.094f, Houston, TX 77030
Phone: 8664464936

JERRY E BOUQUOT (NPI# 1457494460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457494460
Entity Type Individual
Full Name JERRY E BOUQUOT
Credential DDS
Practice Address 6516 Md Anderson Blvd
Rm #3.094f
Houston
TX 77030
Practice Telephone 8664464936
Practice Fax Number 7134503988
Mailing Telephone 8664464936
Mailing Fax Number 7134503988
Enumeration Date 2007-02-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0101X Pathology
Specialization: Anatomic Pathology
22003 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE RAILROAD CARRIER P00305690 01
TX BLUE CROSS BLUE SHIELD 89D241 01

Office Location

Street Address 6516 MD ANDERSON BLVD
RM #3.094F
City HOUSTON
State TX
Zip Code 77030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609087667 Donna Warren Morris Dental Hygienist 6516 Md Anderson Blvd, Houston, TX 77030-3402 2007-05-24
1376755280 Kathleen Rae Mcgrory Dentist 6516 Md Anderson Blvd, Ste 371, Houston, TX 77030 2007-05-04
1982724365 Kenneth Abramovitch Dentist 6516 Md Anderson Blvd, Suite 1.072c, Houston, TX 77030-3402 2007-03-30
1740308691 Thomas Atha Servos Dentist 6516 Md Anderson Blvd, Houston, TX 77030 2007-03-27

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1790307288 Ayushi Jayesh Shah Student in an Organized Health Care Education/Training Program 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 2020-05-07
1932720836 Vera Whole Health Wa, PC Clinic/Center 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 2020-05-01
1548881808 Mobitz Heart and Rhythm Center Pllc Internal Medicine Scurlock Tower, 6560 Fannin St., Houston, TX 77030 2020-04-28
1710516513 Thomas Chi Han Lu Student in an Organized Health Care Education/Training Program 6431 Fannin Street, Msb 3.151, Houston, TX 77030 2020-04-03
1063041085 Kevin Tang Student in an Organized Health Care Education/Training Program 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 2020-04-02
1831728898 Taylor Renbarger Student in an Organized Health Care Education/Training Program 6431 Fannin St Suite Jjl 431, Houston, TX 77030 2020-04-02
1972131423 Sindhu R Rao Student in an Organized Health Care Education/Training Program 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 2020-03-31
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Taxonomy Information

Taxonomy Code 207ZP0101X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891151601 Thomas Steven Roosth Pathology 5850 Rogerdale Rd., Houston, TX 77072-1602 2016-01-08
1619379302 Ameer Hamza Pathology 1515 Holcombe Blvd # 2, Houston, TX 77030 2014-09-24
1659617009 Adg Houston Path Pllc Pathology 2525 W Bellfort Ave Ste 194, Houston, TX 77054-5099 2012-12-12
1295283828 Juan Diego Ortiz Gomez Pathology 6565 Fannin St, Houston Methodist Hospital, Houston, TX 77030-2703 2016-09-12
1851706600 United Pathology Associates, Pllc Pathology 3030 S Gessner Rd, Suite 290, Houston, TX 77063-3765 2014-06-30
1639589831 Wafi Bibars Pathology 1 Baylor Plz, Houston, TX 77030-3498 2014-04-28
1962822148 Nidhi Tandon Pathology 6431 Fannin St, Suite Msb 2.136, Houston, TX 77030-1501 2014-04-25
1699196147 Leomar Y Ballester-fuentes Pathology 6431 Fannin St, Houston, TX 77030-1501 2014-01-01
1467746594 Ekene Ifeyinwa Okoye Pathology 6565 Fannin St, Mgj9-002, Houston, TX 77030-2703 2011-06-07
1609168764 Sinchita Roy Chowdhuri Pathology 1515 Holcombe Blvd, Houston, TX 77030-4000 2011-05-09
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City HOUSTON
Zip Code 77030

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Dataset Information

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.

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