Jason B Boudjouk (NPI# 1255376455, PAC ID# 6204831753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255376455 |
| PAC ID by PECOS | 6204831753 |
| Professional Enrollment ID | I20060915000526 |
| Full Name | Jason B Boudjouk |
| Address |
190 Commerce Dr Suite 102 Warwick RI 02886-2430 |
| Phone Number | 4019215790 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 190 Commerce Dr, Suite 102, Warwick, RI 02886-2430 | 4019215790 |
| Street Address |
190 COMMERCE DR SUITE 102 |
| City | WARWICK |
| State | RI |
| Zip | 02886-2430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly J Humulock | Internal Medicine | 190 Commerce Dr, Suite 102, Warwick, RI 02886-2430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George E Hardy | Internal Medicine | Osh - Ri Physicians Group PC | 300 Quaker Ln, Warwick, RI 02886-0159 |
| Melissa I Ferdinandi | Nurse Practitioner | Osh - Ri Physicians Group PC | 300 Quaker Ln, Warwick, RI 02886-0159 |
| Sharon B Gallipeau | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Lori A Cetrino | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Gary E Nilsson | Certified Registered Nurse Anesthetist (crna) | 444 Quaker Ln, Warwick, RI 02886-0185 | |
| Helen Geigenmiller | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Anne E Tierney | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Wendy M Carrington | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Romi A Webster | Pediatric Medicine | Coastal Medical Inc | 300 Centerville Rd, Warwick, RI 02886-0200 |
| Pamela J Blodgett | Optometry | Richard P. Belhumeur Od Ltd | 1120 Toll Gate Rd, Warwick, RI 02886-0648 |
| Find all physicians in zip 02886 | |||
| City | WARWICK |
| Zip Code | 02886 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WARWICK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jason B Boudjouk.
| 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.