Ronald Glen Boulware (NPI# 1033189469, PAC ID# 6800068016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033189469 |
| PAC ID by PECOS | 6800068016 |
| Professional Enrollment ID | I20111012000702 |
| Full Name | Ronald Glen Boulware |
| Organization Legal Name | BAYFRONT HMA CONVENIENT CARE LLC |
| Address |
3251 66th N St Saint Petersburg FL 33710-1510 |
| Phone Number | 7273443627 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1456597244 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13163 66th St, Largo, FL 33773-1812 | 7275312273 | BAYFRONT HMA CONVENIENT CARE LLC |
| 3251 66th N St, Saint Petersburg, FL 33710-1510 | 7273443627 | BAYFRONT HMA CONVENIENT CARE LLC |
| Organization Legal Name | BAYFRONT HMA CONVENIENT CARE LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Altaf G Anga | Family Medicine | Bayfront Hma Convenient Care LLC | 7000 4th N St, Saint Petersburg, FL 33702-5903 |
| Patricia A Catallo | Nurse Practitioner | Bayfront Hma Convenient Care LLC | 1550 Pasadena S Ave, South Pasadena, FL 33707-3718 |
| Nicole Jones | Nurse Practitioner | Bayfront Hma Convenient Care LLC | 3251 66th N St, Saint Petersburg, FL 33710-1510 |
| Antwan Edward Lacy | Nurse Practitioner | Bayfront Hma Convenient Care LLC | 7000 4th N St, Saint Petersburg, FL 33702-5903 |
| Erin N Gwyn | Nurse Practitioner | Bayfront Hma Convenient Care LLC | 7000 4th N St, Saint Petersburg, FL 33702-5903 |
| Liyu Liu | Family Medicine | Bayfront Hma Convenient Care LLC | 7000 4th N St, Saint Petersburg, FL 33702-5903 |
| Kellen Gower | Family Practice | Bayfront Hma Convenient Care LLC | 7000 4th N St, Saint Petersburg, FL 33702-5903 |
| Blake Dixon | Family Practice | Bayfront Hma Convenient Care LLC | 7000 4th N St, Saint Petersburg, FL 33702-5903 |
| James E O Brien | Family Practice | Bayfront Hma Convenient Care LLC | 3251 66th N St, Saint Petersburg, FL 33710-1510 |
| Melanie R Cross | Nurse Practitioner | Bayfront Hma Convenient Care LLC | 3251 66th N St, Saint Petersburg, FL 33710-1510 |
| Street Address |
3251 66TH N ST |
| City | SAINT PETERSBURG |
| State | FL |
| Zip | 33710-1510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Jones | Nurse Practitioner | Bayfront Hma Convenient Care LLC | 3251 66th N St, Saint Petersburg, FL 33710-1510 |
| James E O Brien | Family Practice | Bayfront Hma Convenient Care LLC | 3251 66th N St, Saint Petersburg, FL 33710-1510 |
| Melanie R Cross | Nurse Practitioner | Bayfront Hma Convenient Care LLC | 3251 66th N St, Saint Petersburg, FL 33710-1510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren S Hendrix | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Khine Swe Zin Min | Hospitalist | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Marie-france Scherer | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| My N Myers | Hospitalist | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Jacek M Kucharewicz | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Timothy N Brundage | Internal Medicine | Ayers Rock Inpatient Services LLC | 6500 38th N Ave, St Petersburg, FL 33710 |
| Douglas B Moss | Podiatry | 7855 38th Ave N, Suite 200, St Petersburg, FL 33710-1134 | |
| John J Obrien Jr. | Plastic and Reconstructive Surgery | 7855 38th Ave N, St Petersburg, FL 33710-1152 | |
| Christopher Newman | Plastic and Reconstructive Surgery | 7855 38th Ave N, Saint Petersburg, FL 33710-1152 | |
| Louis Mazzella | Family Medicine | Nautilus Health Care Group LLC | 7501 38th Ave N, St Petersburg, FL 33710-1230 |
| Find all physicians in zip 33710 | |||
| City | SAINT PETERSBURG |
| Zip Code | 33710 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT PETERSBURG + FAMILY MEDICINE |
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| 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.