Jose Antonio Bouffard
RADADVANTAGE A PROFESSIONAL CORPORATION


Address: 4201 Saint Antoine St, Detroit, MI 48201-2153
Phone: 3137453000

Jose Antonio Bouffard (NPI# 1043388788, PAC ID# 1759344500) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1043388788
PAC ID by PECOS 1759344500
Professional Enrollment ID I20041112000049
Full Name Jose Antonio Bouffard
Organization Legal Name RADADVANTAGE A PROFESSIONAL CORPORATION
Address 4201 Saint Antoine St
Detroit
MI 48201-2153
Phone Number 3137453000
Gender M
Credential MD
Graduation Year 1980
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 2163597899
Number of Group Practice Members 339
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230104 HARPER UNIVERSITY HOSPITAL
230024 SINAI-GRACE HOSPITAL
230273 DETROIT RECEIVING HOSPITAL
230277 HURON VALLEY-SINAI HOSPITAL

Other Locations

Address Phone Organization
4201 Saint Antoine St, Detroit, MI 48201-2153 3137453000 RADADVANTAGE A PROFESSIONAL CORPORATION

Organization Information

Organization Legal Name RADADVANTAGE A PROFESSIONAL CORPORATION
Physicians 182

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Name Specialty Organization Address
Dmitry Bolkhovets Diagnostic Radiology Radadvantage A Professional Corporation 67 Dora St, Apt 3, Stamford, CT 06902-5414
Robert L Sciulli Diagnostic Radiology Radadvantage A Professional Corporation 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416
Clark T Kholeif Diagnostic Radiology Radadvantage A Professional Corporation 6181 Kahiliholo Rd, Kilauea, HI 96754-5117
Tracy J Robinson Diagnostic Radiology Radadvantage A Professional Corporation 1940 E 3375, Millcreek, UT 84106-3939
Katherine Tobin Diagnostic Radiology Radadvantage A Professional Corporation 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5570
Charles J Vassallo Diagnostic Radiology Radadvantage A Professional Corporation 2500 Kalakaua Ave, Apt 1003, Honolulu, HI 96815-3602
Judith Corey Diagnostic Radiology Radadvantage A Professional Corporation 5858 Bellaire Dr, New Orleans, LA 70124-1104
Betsy J Bronson Diagnostic Radiology Radadvantage A Professional Corporation 5050 Donald St, Eugene, OR 97405-3526
Mujtaba M Ali Diagnostic Radiology Radadvantage A Professional Corporation 518 S Buena Vista St, Redlands, CA 92373-5804
Brendan Maney Miner Diagnostic Radiology Radadvantage A Professional Corporation 510 14th St, St Augustine, FL 32084-1507

Office Location

Street Address 4201 SAINT ANTOINE ST
City DETROIT
State MI
Zip 48201-2153

Physicians in the same location

Name Specialty Organization Address
Geoffrey R Barger Neurology University Physician Group 4201 Saint Antoine St, 8a, Detroit, MI 48201-2153
Sruthi Kondur Pain Management 4201 Saint Antoine St, 6b1, Detroit, MI 48201-2153
Laura Jean Smylie Emergency Medicine Medical Center Emergency Services 4201 Saint Antoine St, Detroit, MI 48201-2153
Kumar Rajamani Neurology University Physician Group 4201 Saint Antoine St, 8a, Detroit, MI 48201-2153
Jeffrey S Smith Anesthesiology Northstar Anesthesia of Michigan Pllc 4201 Saint Antoine St, Detroit, MI 48201-2153
Brian Matthew Dimmer Emergency Medicine Medical Center Emergency Services 4201 Saint Antoine St, Detroit, MI 48201-2153
Erin M Ge Emergency Medicine Medical Center Emergency Services 4201 Saint Antoine St, Detroit, MI 48201-2153
Maysaa M Basha Neurology University Physician Group 4201 Saint Antoine St, 8a, Detroit, MI 48201-2153
Abdallah Ajani Emergency Medicine Medical Center Emergency Services 4201 Saint Antoine St, Detroit, MI 48201-2153
Maysoon Al Hihi Diagnostic Radiology Radadvantage A Professional Corporation 4201 Saint Antoine St, Detroit, MI 48201-2153
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Amanda Rose Berger Weber Neurology University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Jennifer R Noble Pediatric Medicine University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Ronald P Ruffing Emergency Medicine University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Charles B Pelshaw Physical Medicine and Rehabilitation University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Katherine O'brien Cashen Pediatric Medicine University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Angela L Kavenaugh Emergency Medicine University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Deemah R Mahadin Cardiovascular Disease (cardiology) University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Robert L Conway Pediatric Medicine University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Elizabeth A Secord Allergy/immunology University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Melissa Y February Pediatric Medicine University Pediatricians 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201
Find all physicians in zip 48201

Competitor

Search similar physicians

City DETROIT
Zip Code 48201
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty DETROIT + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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