DR. RALEIGH J BOULWARE (NPI# 1063493591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063493591 |
| Entity Type | Individual |
| Full Name | DR. RALEIGH J BOULWARE |
| Credential | MD |
| Practice Address |
7 Medical Park Suite 104 Columbia SC 29223 |
| Mailing Address |
Po Box 2046 West Columbia SC 29171-2046 |
| Practice Telephone | 8034343400 |
| Practice Fax Number | 8034343938 |
| Mailing Telephone | 8034613000 |
| Mailing Fax Number | 8034614914 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
8500 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 085008 | 05 |
| Street Address |
7 MEDICAL PARK SUITE 104 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003897539 | Diane W Truesdale | Radiology | 7 Medical Park, Suite 104, Columbia, SC 29223 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885754 | Providence Physician Practices, LLC | Radiology | 114 Gateway Corporate Blvd Ste 440, Columbia, SC 29203-9785 | 2017-11-28 |
| 1568859023 | Andrew J Leiker | Radiology | One Hospital Dr, Columbia, MO 65212-0001 | 2015-04-22 |
| 1801214267 | Reed Evans Cope | Radiology | 1705 E Broadway Ste 100, Columbia, MO 65201-7167 | 2014-04-02 |
| 1467899534 | Leonid Zamdborg | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2013-05-30 |
| 1568725810 | Kevin Blas | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2012-06-21 |
| 1962799452 | Kurt Davin Meyer | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2011-07-05 |
| 1376855981 | Brandon M Stone | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2010-07-12 |
| 1396903761 | Elizabeth May Nichols | Radiology | 10710 Charter Dr, Suite G030, Columbia, MD 21044-3128 | 2008-06-01 |
| 1568476745 | Sally B Cheston | Radiology | 11065 Little Patuxent Pkwy, Columbia, MD 21044-2998 | 2006-07-27 |
| 1659329480 | Deepak Rao Raghu | Radiology | One Hospital Dr, Columbia, MO 65212-0001 | 2006-05-04 |
| Find all providers in COLUMBIA | ||||
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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.