RYAN BOUDREAU (NPI# 1770902074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770902074 |
| Entity Type | Individual |
| Full Name | RYAN BOUDREAU |
| Practice Address |
Uc Medical Center Department of Surgery 231 Albert Sabin Way Ml0558 Cincinnati OH 45267-0558 |
| Practice Telephone | 6179976005 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093194284 | Ryan Boudreau | Physician Assistant | 6955 Golfcrest Dr, Apt 1030, San Diego, CA 92119-2470 | 2015-05-21 |
| 1033741236 | Ryan Boudreau | Physician Assistant | 44 Binney St, Boston, MA 02115-6084 | 2020-02-06 |
| 1346595998 | Ryan James Boudreau | Pharmacist | 4500 Veterans Memorial Blvd, T-1449, Metairie, LA 70006-5330 | 2012-07-19 |
| Street Address |
UC MEDICAL CENTER DEPARTMENT OF SURGERY 231 ALBERT SABIN WAY ML0558 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45267-0558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199691 | Mackenzie Morris | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way, Room 1586, Ml 0558, Cincinnati, OH 45267 | 2016-04-22 |
| 1619361052 | Nicole Soria | Emergency Medicine | 231 Albert Sabin Way Msb 1654, Uc Emergency Medicine, Cincinnati, OH 45267 | 2015-03-24 |
| 1205109741 | Natasha Beilinson | Occupational Therapist | 206 Albert Sabin Way Room 1021, Cincinnati, OH 45267 | 2012-02-14 |
| 1346300019 | James A Miller | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way Rm 2472, Cincinnati, OH 45267 | 2006-12-11 |
| 1205894151 | Joseph Edward Palascak | Internal Medicine | 3125 Eden Ave, Ml 0508, Cincinnati, OH 45267 | 2006-05-02 |
| 1083271555 | John Kennedy IIi | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way, Mail Location 0558, Cincinnati, OH 45267 | 2019-05-21 |
| 1386176782 | Tony Montgomery | Student in an Organized Health Care Education/Training Program | 200 Albert Sabin Way, Cincinnati, OH 45267 | 2017-04-03 |
| 1366973885 | Andrew Thomas Martin | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way, Cincinnati, OH 45267 | 2017-03-26 |
| 1023549169 | Arjan Hura | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way Fl 5, Cincinnati, OH 45267 | 2017-03-21 |
| 1588041214 | Michael Warner Robinson | Student in an Organized Health Care Education/Training Program | 260 Stetson Street, Suite 2200, Cincinnati, OH 45267 | 2015-05-01 |
| Find all providers in zip 45267 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190546 | Philip Maxwell Wienkamp | Student in an Organized Health Care Education/Training Program | 6194 Oakhaven Dr, Cincinnati, OH 45233-4444 | 2020-10-06 |
| 1407463441 | Amanda Catherine Winner | Student in an Organized Health Care Education/Training Program | 3874 Ivanhoe Ave, Cincinnati, OH 45212-3513 | 2020-09-24 |
| 1649884198 | Lydia Wolferst | Student in an Organized Health Care Education/Training Program | 7892 Pinemeadow Ln, Cincinnati, OH 45224-1226 | 2020-09-02 |
| 1821608761 | Rachel Elizabeth Makoski | Student in an Organized Health Care Education/Training Program | 4856 Forest Meadows Ct, Cincinnati, OH 45244-1275 | 2020-08-05 |
| 1992326961 | Stephanie Rosanna Beasley | Student in an Organized Health Care Education/Training Program | 60 Gambier Cir, Cincinnati, OH 45218-1427 | 2020-04-30 |
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1457980096 | Brian Loring | Student in an Organized Health Care Education/Training Program | 3744 Herbert Ave, Cincinnati, OH 45211-5437 | 2020-04-06 |
| 1831728476 | Allison Rose Hamad | Student in an Organized Health Care Education/Training Program | 231 Sabin Way Ml 0558 Ucmc Department of Surgery, Cincinnati, OH 45267-0001 | 2020-04-06 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45267 |
Please comment or provide details below to improve the information on RYAN BOUDREAU.
| 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.