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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 126171 | 05 |
Street Address |
960 WINDHAM CT STE 1 |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44512-5087 |
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 Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
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. |
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 |
City | YOUNGSTOWN |
Zip Code | 44512 |
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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.