DR. DAVID A BOUDREAUX (NPI# 1982664371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982664371 |
| Entity Type | Individual |
| Full Name | DR. DAVID A BOUDREAUX |
| Practice Address |
5339 Odonavan Baton Rouge LA 70808-4388 |
| Practice Telephone | 2257664999 |
| Practice Fax Number | 2257635870 |
| Mailing Telephone | 2257664999 |
| Mailing Fax Number | 2257635870 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD.012883 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1389561 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494722 | David Michael Boudreaux | Nurse Anesthetist, Certified Registered | 902 N Hennessey St, New Orleans, LA 70119-3622 | 2005-11-17 |
| 1720501869 | David J Boudreaux | Psychologist | 10770 N 46th St Bldg E, Tampa, FL 33617-3442 | 2017-07-20 |
| Street Address |
5339 ODONAVAN |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225098155 | Peggy H. Polk | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-24 |
| 1356302681 | Richard R. Graham | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-28 |
| 1982664397 | John R. Simmons | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-28 |
| 1558321984 | Deborah S. Cavalier Jr. | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-28 |
| 1053371468 | Brian W. Webb | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-28 |
| 1629039946 | Edgar S. Cooper | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-28 |
| 1841250206 | Frederick Wayne Stromeyer | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-27 |
| 1699735688 | Anthony M. Harton | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-24 |
| 1326008210 | Beverly W. Ogden | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-24 |
| 1669432654 | Alan D Hulett | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194978122 | Pathology Group of Louisiana, A Professional Medical Corporation | Pathology | 5339 Odonovan, Baton Rouge, LA 70808-4388 | 2008-11-04 |
| 1528248556 | Pathology Laboratory Consultants Apmc | Pathology | 3933 Convention St, Baton Rouge, LA 70806-3806 | 2007-11-07 |
| 1477672251 | Tracy Marie Rauch | Pathology | Pathology Group of Louisiana, 5339 O'donovan Drive, Baton Rouge, LA 70808 | 2007-03-29 |
| 1952437873 | Suzanne Lam | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2007-02-26 |
| 1720183148 | William Noah Bergeron | Pathology | 8768 Quarters Lake Rd, Suite 4, Baton Rouge, LA 70809 | 2006-09-13 |
| 1093733412 | Zarius Drummond | Pathology | 5339 O'donovan Drive, Baton Rouge, LA 70808-4338 | 2006-07-17 |
| 1225098155 | Peggy H. Polk | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-24 |
| 1124027925 | Leo A. Pei | Pathology | 17000 Medical Center Drive, Baton Rouge, LA 70816 | 2005-07-14 |
| 1104472117 | Pathology Group of Louisiana, A Professional Medical Corporation | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2019-08-15 |
| 1487996591 | Aleksandra Sowder | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2013-03-27 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.