SCOTT M BOUTON (NPI# 1811044167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811044167 |
| Entity Type | Individual |
| Full Name | SCOTT M BOUTON |
| Credential | MD |
| Practice Address |
11000 Euclid Ave Cleveland OH 44106-1714 |
| Mailing Address |
3605 Warrensville Center Rd Shaker Hts OH 44122-5203 |
| Practice Telephone | 4406845829 |
| Practice Fax Number | 4404491555 |
| Mailing Telephone | 4406845829 |
| Mailing Fax Number | 4404491555 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
35-084734 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BUCKEYE | 732324 | 01 |
| OH | RAILROAD MEDICARE | P00412306 | 01 |
| PA | PA MEDICAID | 1011138340001 | 01 |
| OH | ANTHEM | 000000337118 | 01 |
| OH | WELLCARE | 363374 | 01 |
| OH | AETNA | 7288591 | 01 |
| OH | UNISON | 000000221061 | 01 |
| OH | BCMH | 2502410 | 01 |
| OH | 2502410 | 05 |
| Street Address |
11000 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551005 | Pablo Federico Ruda Vega | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2020-09-01 |
| 1538782412 | Latoya Latrice Tamika Paul | Nurse Practitioner | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2020-05-26 |
| 1558920199 | Eilish Lynn Welsh | Student in an Organized Health Care Education/Training Program | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2019-06-07 |
| 1932693157 | Thapat Wannarong | Student in an Organized Health Care Education/Training Program | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2018-06-20 |
| 1134625437 | Victoria Gilbride | Student in an Organized Health Care Education/Training Program | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2018-04-04 |
| 1285130955 | Jakob Matthew Adkins | Student in an Organized Health Care Education/Training Program | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2018-04-02 |
| 1932604816 | Yasmin Moftakhar | Student in an Organized Health Care Education/Training Program | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2018-03-24 |
| 1265936850 | Jane Elizabeth Rupp | Nurse Practitioner | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2018-03-20 |
| 1306372628 | Lindsay Dunkel | Social Worker | 11000 Euclid Ave, Suite 3001, Cleveland, OH 44106-1714 | 2017-05-05 |
| 1922539345 | Robert Devita | Student in an Organized Health Care Education/Training Program | 11000 Euclid Ave, Cleveland, OH 44106 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467746297 | David Michael Shafran | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2011-06-09 |
| 1861526774 | Richard J. Adams | Pediatrics | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2007-03-15 |
| 1407907058 | Brendan J Kilbane | Pediatrics | 11100 Euclid Avenue, Cleveland, OH 44106 | 2007-01-12 |
| 1386701621 | Kreg Burnette | Pediatrics | 11100 Euclid Avenue, Cleveland, OH 44106 | 2007-01-03 |
| 1114085610 | Patrick T Wilson | Pediatrics | 11100 Euclid Avenue, Cleveland, OH 44106 | 2006-12-05 |
| 1669569661 | Brett A Luxmore | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-10-10 |
| 1053406678 | Regina M Rosace | Pediatrics | 11100 Euclid Avenue, Cleveland, OH 44106 | 2006-10-03 |
| 1265540033 | Laura D Goldberg | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-08-29 |
| 1023039559 | Lynne A Eversman | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-21 |
| 1386665818 | Martha S Wright | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-21 |
| Find all providers in CLEVELAND | ||||
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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.