JEANNE MARIE BOUDREAUX (NPI# 1093751190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093751190 |
| Entity Type | Individual |
| Full Name | JEANNE MARIE BOUDREAUX |
| Credential | MD |
| Practice Address |
5455 Meridian Mark Rd Ne Ste 400 Atlanta GA 30342 |
| Practice Telephone | 4047853240 |
| Practice Fax Number | 4047853600 |
| Mailing Telephone | 4047853240 |
| Mailing Fax Number | 4047853600 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
043559 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5455 MERIDIAN MARK RD NE STE 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326005059 | Jeanne E Hendrickson | Pathology | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-04-27 |
| 1386016533 | Jennifer Lynn Wheelus | Nurse Practitioner | 5455 Meridian Mark Rd Ne, Ste 540, Atlanta, GA 30342-1654 | 2015-10-28 |
| 1629157946 | Cynthia A Simon Krogh | Nurse Practitioner | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-11-06 |
| 1174606362 | Denise Fort-badie | Specialist/Technologist, Other | 5455 Meridian Mark Rd Ne, Ste 540, Atlanta, GA 30342 | 2006-10-23 |
| 1235220203 | Robin Pitts | Internal Medicine | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-09-27 |
| 1235231390 | Tina Taylor | Internal Medicine | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-09-01 |
| 1194744060 | Daniel John Bergsagel | Pediatrics | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-07-19 |
| 1871539825 | Robert Clark Brown | Internal Medicine | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-06-20 |
| 1922042118 | Melissa Martin | Internal Medicine | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-06-16 |
| 1063451821 | Bradley A George | Pediatrics | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669296 | Nizar Jacques J Bahlis | Internal Medicine | Winship Cancer Institute 1365 Clifton Rd Building C, Atlanta, GA 30322-0001 | 2018-02-19 |
| 1598085193 | Mehmet Asim Bilen | Internal Medicine | Winship Cancer Institute of Emory University, 1365c Clifton Road, Atlanta, GA 30322-0001 | 2010-06-04 |
| 1841440856 | More Than Ready Company LLC | Internal Medicine | 5456 Peachtree Industrial Blvd # 636, Atlanta, GA 30341-2235 | 2008-09-26 |
| 1356479190 | Richard Steven Leff | Internal Medicine | 1300 Parkwood Cir Se, Atlanta, GA 30339-2143 | 2007-03-01 |
| 1841342276 | Paul Richter | Internal Medicine | 3920 Randall Farm Road, Atlanta, GA 30339 | 2007-01-17 |
| 1326102328 | Gary S Rana | Internal Medicine | 125 N Devereux Ct Nw, Nw, Atlanta, GA 30327-4351 | 2006-12-21 |
| 1871665265 | Ann E Haight | Internal Medicine | 1405 Clifton Road Ne, 3rd Fl, Atlanta, GA 30322 | 2006-11-14 |
| 1912915109 | Otis W. Brawley | Internal Medicine | Winship Cancer Institute, 1365 Clifton Rd., Ne Ste C4014, Atlanta, GA 30322-0001 | 2006-08-03 |
| 1386687721 | Robert S Allen | Internal Medicine | 1005 Oxford Rd Ne, Atlanta, GA 30306-2605 | 2006-06-14 |
| 1619919602 | Aparna Reddy Kumar | Internal Medicine | 6105 Peachtree Dunwoody Rd Ste A150, Atlanta, GA 30328 | 2006-06-12 |
| Find all providers in ATLANTA | ||||
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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.