BOULEVARD MEDICAL CENTER INC. (NPI# 1659585354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659585354 |
| Entity Type | Organization |
| Organization Name | BOULEVARD MEDICAL CENTER INC. |
| Other Organization Name | BOULEVARD MEDICAL CENTER INC. |
| Practice Address |
1020 Independence Blvd Suite 101 Virginia Beach VA 23455 |
| Practice Telephone | 7574603330 |
| Practice Fax Number | 7574603781 |
| Mailing Telephone | 7574603330 |
| Mailing Fax Number | 7574603781 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-11-01 |
| Authorized Official Name | MRS. JOAN I FLOR (BUSINESS MANAGER VICE PRESIDENT) |
| Authorized Official Telephone | 7574603330 |
| Authorized Official Credential | BS MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Boulevard Medical Center Inc. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | BOULEVARD MEDICAL CENTER INC. | 1020 Independence Blvd, Suite 101, Virginia Beach, Virginia 23455-5541 |
| Street Address |
1020 INDEPENDENCE BLVD SUITE 101 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669473260 | Michelle Elizabeth Kingsbury | Family Medicine | 1020 Independence Blvd, #103, Virginia Beach, VA 23455-5500 | 2005-08-03 |
| 1912367327 | Kathleen Dring, Jd, Psyd, Pllc | Clinic/Center | 1020 Independence Blvd, Suite 214, Virginia Beach, VA 23455-5500 | 2016-02-26 |
| 1477935682 | Atlantic Neurosurgery PC | Neurological Surgery | 1020 Independence Blvd, Suite 210, Virginia Beach, VA 23455-5500 | 2015-06-24 |
| 1023499647 | Jeannie Ha Cole | Physician Assistant | 1020 Independence Blvd, Suite 110, Virginia Beach, VA 23455-5500 | 2015-06-10 |
| 1427438373 | Gastrointestinal and Liver Specialists of Tidewater, Pllc | Physician Assistant | 1020 Independence Blvd, Suite 110, Virginia Beach, VA 23455-5500 | 2015-06-05 |
| 1346585395 | Ahmed A. Rahman, M.d. P.c | Surgery | 1020 Independence Blvd, Suite 308, Virginia Beach, VA 23455-5500 | 2012-12-03 |
| 1619251337 | Bon Secours Depaul Medical Center | Family Medicine | 1020 Independence Blvd, Suite 305, Virginia Beach, VA 23455-5500 | 2011-09-29 |
| 1366725160 | Bon Secours Depaul Medical Center | Internal Medicine | 1020 Independence Blvd, Sutie 206, Virginia Beach, VA 23455-5500 | 2011-09-28 |
| 1700017290 | Kathleen Dring, Pllc | Psychologist | 1020 Independence Blvd, Ste. 214, Virginia Beach, VA 23455-5500 | 2009-07-31 |
| 1255577235 | Norma O. Magpoc, M.d., P.C. | Internal Medicine | 1020 Independence Blvd, Suite 206, Virginia Beach, VA 23455-5500 | 2008-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| 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 |
|---|---|---|---|---|
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1699236026 | Helen Everett Frankos | Family Medicine | 748 Sequoia Way, Virginia Beach, VA 23451-4472 | 2019-03-28 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1538699038 | Promethean Group | Family Medicine | 3920 Vanderhorst Dr, Virginia Beach, VA 23462-7531 | 2017-06-16 |
| 1407385172 | Ashley Watson | Family Medicine | 513 Boswell Ct, Virginia Beach, VA 23452-5857 | 2017-06-07 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| 1053754358 | Jonathan Gellman | Family Medicine | 1200 Lake James Dr, Suite 200, Virginia Beach, VA 23464-6773 | 2013-04-17 |
| 1003155045 | Accurate Medical PC | Family Medicine | 3312 Doncaster Rd, Virginia Beach, VA 23452-5920 | 2013-02-12 |
| 1740529072 | Dalene Cheek Evans | Family Medicine | 1201 Lake James Dr Ste 200, Virginia Beach, VA 23464-6780 | 2013-02-06 |
| 1326334095 | Kari Ann Neamand Cheney | Family Medicine | 1035 Nider Blvd, St 100, Nmcp Branch Health Clinic Boone, Virginia Beach, VA 23459-2731 | 2011-06-21 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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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.