JAMES E BOUDWIN (NPI# 1467597922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467597922 |
| Entity Type | Individual |
| Full Name | JAMES E BOUDWIN |
| Credential | M.D. |
| Practice Address |
12 Stults Rd Suite 121 Dayton NJ 08810-2514 |
| Practice Telephone | 7323298600 |
| Practice Fax Number | 6093957519 |
| Mailing Telephone | 7323298600 |
| Mailing Fax Number | 6093957519 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA04205800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ MEDICAL LICENSE | 25MA04205800 | 01 |
| NJ | TAX ID | 222716889 | 01 |
| NJ | DEA NUMBER | AB2445155 | 01 |
| Street Address |
12 STULTS RD SUITE 121 |
| City | DAYTON |
| State | NJ |
| Zip Code | 08810-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639116395 | Teresa Mckinley Schaer | Internal Medicine | 12 Stults Rd, Suite 123, Dayton, NJ 08810-1549 | 2006-06-01 |
| 1972945772 | Miriam Dalia Sapeika | Physician Assistant | 12 Stults Rd, Suite 123, Dayton, NJ 08810-2514 | 2013-07-22 |
| 1699832956 | Robert J Casper | Internal Medicine | 12 Stults Rd, Suite 121, Dayton, NJ 08810-2514 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295265817 | Urviben Niketan Tewar | Physical Therapist | 2245 Us Hwy 130, Suite 105, Dayton, Nj, Dayton, NJ 08810 | 2017-06-15 |
| 1689051732 | Princeton Adult Day Care LLC | Custodial Care Facility | 2245 Route 130, South Brunswick, NJ 08810 | 2015-04-28 |
| 1275923401 | Richa Sharma | Behavioral Analyst | 3 Aster Way, Dayton, NJ 08810 | 2015-01-26 |
| 1205255346 | Lakshmi Puttagunta | Nurse Practitioner | 43 Larkspur Drive, Dayton, NJ 08810 | 2014-04-15 |
| 1376704627 | Shivani Sharma | Internal Medicine | 12 Stults Rd Ste 121, Dayton, NJ 08810 | 2008-06-19 |
| 1699913145 | St. Demian Medical Pllc | Internal Medicine | 5 Ivy Way, Dayton, NJ 08810 | 2009-01-21 |
| 1205005782 | Victor Sharobeem Md LLC | Family Medicine | 5 Ivy Way, Dayton, NJ 08810-0000 | 2008-02-28 |
| 1548822166 | Epoch Physical Therapy | Physical Therapist | 2245 Route 130, Dayton, NJ 08810-0881 | 2019-07-03 |
| 1417345075 | Rebecca Lynn Blankstein | Nurse Practitioner | 46 Davids Ct, Dayton, NJ 08810-1301 | 2015-01-06 |
| 1912204751 | Allison Ingram | Speech-Language Pathologist | 18 Davids Ct, Dayton, NJ 08810-1301 | 2011-02-14 |
| Find all providers in zip 08810 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
| 1770095382 | Nancy Louise Hall | Family Medicine | 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 | 2017-11-05 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
| 1962844480 | Claire Eleanore Cappel | Family Medicine | 4266 Upham Rd, Dayton, OH 45429-1620 | 2013-07-25 |
| 1851662092 | New Phoenix | Family Medicine | 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 | 2012-01-19 |
| 1700165081 | Torben Svendsen | Family Medicine | 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 | 2011-08-04 |
| 1104124221 | Kerri Lyn Gibson | Family Medicine | 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 | 2011-03-14 |
| Find all providers in DAYTON | ||||
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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.