CAROLE BOUDREAUX (NPI# 1083664239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083664239 |
| Entity Type | Individual |
| Full Name | CAROLE BOUDREAUX |
| Credential | MD |
| Practice Address |
2451 Fillingim St Pathology Mobile AL 36617-2238 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514717790 |
| Practice Fax Number | 2514717715 |
| Mailing Telephone | 2514717790 |
| Mailing Fax Number | 2514717715 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
16509 | AL | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
16509 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1523593 | 05 | |
| FL | 255587500 | 05 | |
| AL | 000024061 | 05 | |
| AL | UNITED HEALTHCARE | 11-10270 | 01 |
| MS | 00118221 | 05 | |
| AL | BCBS | 51024061 | 01 |
| Street Address |
2451 FILLINGIM ST PATHOLOGY |
| City | MOBILE |
| State | AL |
| Zip Code | 36617-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036312 | Roy E Gandy | Surgery | 2451 Fillingim St, Mastin 101, Mobile, AL 36617-2238 | 2005-07-12 |
| 1629635818 | Usa Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2019-05-22 |
| 1629575865 | Onesmus Kiprotich Too | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-04-12 |
| 1851894943 | Christine Choquette | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-03-14 |
| 1942720834 | Erin B Cunningham | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2017-06-22 |
| 1720511017 | Richard Ross Rieske | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Mstn 315, Mobile, AL 36617-2238 | 2017-04-04 |
| 1588196935 | Anam Iftikhar Chouhdry | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
| 1417489063 | Joseph Arnell Jones Iv | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
| 1912439670 | Ryan Mikel Burdette Kiser | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, 10-f, Mobile, AL 36617-2238 | 2017-03-31 |
| 1497287353 | Fares Hujier | Internal Medicine | 2451 Fillingim St, Resident Box 7th Floor, Mobile, AL 36617 | 2017-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164080529 | Usa Health Physician Billing Services LLC | Pathology | 2451 University Hospital Dr Fl 1, Mobile, AL 36617-2300 | 2019-05-31 |
| 1922468677 | Rex Daniel Roach IIi | Pathology | 6554 Lubarrett Way, Mobile, AL 36695-3825 | 2016-02-23 |
| 1992743785 | Kimberley V. Patterson | Pathology | 100 Memorial Hospital Dr., Suite 1d, Mobile, AL 36608 | 2006-06-03 |
| 1366802597 | University of South Alabama | Pathology | 2451 Fillingim St, 1st Floor, Mobile, AL 36617-2238 | 2016-03-01 |
| 1083034227 | Ourania Kampagianni | Pathology | 2451 Fillingim St, 1st Floor, Mobile, AL 36617-2238 | 2014-04-25 |
| 1942643226 | Briana R Gibson | Pathology | 5 Mobile Infirmary Circle, Mobile, AL 36607-3513 | 2013-04-16 |
| 1770840001 | Maria D Del Valle Estopinal | Pathology | 2451 Fillingim St, Mobile, AL 36617-2238 | 2012-04-11 |
| 1417213703 | Eleanore R Mcintosh | Pathology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2012-04-11 |
| 1659641801 | Dalia M Abdel -azim | Pathology | 2451 Fillingim St, Department of Pathology, Mobile, AL 36617-2238 | 2012-01-05 |
| 1659668721 | Kelly Elizabeth Moses | Pathology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2011-07-08 |
| Find all providers in MOBILE | ||||
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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.