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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230104 | HARPER UNIVERSITY HOSPITAL |
230024 | SINAI-GRACE HOSPITAL |
230273 | DETROIT RECEIVING HOSPITAL |
230277 | HURON VALLEY-SINAI HOSPITAL |
Address | Phone | Organization |
---|---|---|
4201 Saint Antoine St, Detroit, MI 48201-2153 | 3137453000 | RADADVANTAGE A PROFESSIONAL CORPORATION |
Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
Physicians | 182 |
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 |
Street Address |
4201 SAINT ANTOINE ST |
City | DETROIT |
State | MI |
Zip | 48201-2153 |
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 |
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 |
City | DETROIT |
Zip Code | 48201 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | DETROIT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jose Antonio Bouffard.
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.