ANTHONY MICHAEL BOULOS


Address: 960 Windham Ct Ste 1, Youngstown, OH 44512-5087
Phone: 3307263357

ANTHONY MICHAEL BOULOS (NPI# 1649402751) 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) 1649402751
Entity Type Individual
Full Name ANTHONY MICHAEL BOULOS
Credential M.D.
Practice Address 960 Windham Ct Ste 1
Youngstown
OH 44512-5087
Practice Telephone 3307263357
Practice Fax Number 3307261465
Mailing Telephone 3307263357
Mailing Fax Number 3307261465
Enumeration Date 2009-08-24
Last Update Date 2020-07-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
35097978 OH Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
35097978 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 126171 05

Office Location

Street Address 960 WINDHAM CT STE 1
City YOUNGSTOWN
State OH
Zip Code 44512-5087

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285248740 Kimberly Vrabel Counselor 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 2020-09-02
1043830144 Steffi Lorraine D'souza Student in an Organized Health Care Education/Training Program 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 2020-04-20
1427677830 Shivani Sharma Family Medicine 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 2020-04-15
1417587825 Ronny Zetts Pharmacist 308 Boardman-canfield Rd, Boardman, OH 44512 2020-01-24
1285105080 Andrew Dawson Nurse Practitioner 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 2018-12-06
1700374949 Adam Leid Student in an Organized Health Care Education/Training Program St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 2018-04-24
1528574910 Herman Frank IIi Licensed Practical Nurse 920 Boardman Canfield Road, Boardman, OH 44512 2017-12-20
1730601980 Stephanie Ann Mathews Nurse Practitioner 7600 Southern Blvd #1, Boardman, OH 44512 2017-07-10
1417485079 Telka Ghobadi Family Medicine 8423 Market St., Suite 101, Boardman, OH 44512 2017-05-26
1356797534 Haroon Hussain Syed Student in an Organized Health Care Education/Training Program 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 2016-05-06
Find all providers in zip 44512

Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003806134 Ghazaleh Bigdeli Internal Medicine 925 Trailwood Dr, Youngstown, OH 44512-5008 2005-10-28
1770892713 Michael A Apostolis Internal Medicine 925 Trailwood Dr, Youngstown, OH 44512-5008 2010-09-24
1861718256 Ashlee Nicole Russo Internal Medicine 925 Trailwood Dr, Youngstown, OH 44512-5008 2010-04-11
1083942999 Muneer Al Zoby Internal Medicine 1044 Belmont Ave, Youngstown, OH 44504-1006 2009-12-03
1720205065 Pulmonary Rehabilitation Associates Internal Medicine 925 Trailwood Dr, Youngstown, OH 44512-5008 2007-04-19
1437376621 Pulmonary Medicine Consultants Internal Medicine 925 Trailwood Dr, Youngstown, OH 44512-5008 2007-04-19
1497891931 Abhijit Duggal Internal Medicine 500 Gypsy Ln, Department of Internal Medicine, Youngstown, OH 44504-1315 2007-01-30
1679670707 Timothy J Barreiro Internal Medicine 1044 Belmont Ave, Youngstown, OH 44504-1006 2006-09-20
1033216130 Alan J Cropp Internal Medicine 925 Trailwood Dr, Box 14130, Youngstown, OH 44512-5008 2006-09-20
1104887413 Bryan Veynovich Internal Medicine 925 Trailwood Dr, Youngstown, OH 44512-5008 2006-03-28
Find all providers in YOUNGSTOWN

Competitor

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City YOUNGSTOWN
Zip Code 44512

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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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