DR. JENNIFER R BOALS (NPI# 1114920394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114920394 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER R BOALS |
| Credential | MD |
| Practice Address |
7695 Poplar Pike Suite 101 Germantown TN 38138-5947 |
| Mailing Address |
8010 Stage Hills Blvd Bartlett TN 38133-4032 |
| Practice Telephone | 9016852696 |
| Mailing Telephone | 9012912400 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
30500 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3865327 | 05 |
| Street Address |
7695 POPLAR PIKE SUITE 101 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437324118 | Ernest Schorr Behnke | Radiology | 7695 Poplar Pike, Germantown, TN 38138-5947 | 2008-04-24 |
| 1003088113 | Joseph Patrick Blankinship Jr. | Radiology | 7695 Poplar Pike, Germantown, TN 38138-5947 | 2008-03-28 |
| 1689897563 | Kevin Michael Garrett | Radiology | 7695 Poplar Pike, Suite 101, Germantown, TN 38138-5947 | 2007-04-10 |
| 1528018686 | Francis Daniel Donovan Jr. | Radiology | 7695 Poplar Pike, Suite 101, Germantown, TN 38138-5947 | 2006-05-11 |
| 1972506384 | Brixey R Shelton | Radiology | 7695 Poplar Pike, Suite 101, Germantown, TN 38138-5947 | 2005-05-31 |
| 1831192285 | Philip R Weber | Radiology | 7695 Poplar Pike, Suite 101, Germantown, TN 38138-5947 | 2005-05-31 |
| 1083617492 | William E Routt Jr. | Radiology | 7695 Poplar Pike, Suite 101, Germantown, TN 38138-5947 | 2005-05-31 |
| 1538162946 | Sidney D Selvidge | Radiology | 7695 Poplar Pike, Suite 101, Germantown, TN 38138-5947 | 2005-05-31 |
| 1669475067 | Robert Yarbrough | Radiology | 7695 Poplar Pike, Suite 101, Germantown, TN 38138-5947 | 2005-05-31 |
| 1144223553 | Mark W Weatherly | Radiology | 7695 Poplar Pike, Suite 101, Germantown, TN 38138-5947 | 2005-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871931667 | Sam Wairiri | Radiology | 1458 Grove Meadow Ct, Germantown, TN 38138-3307 | 2013-06-13 |
| 1811158967 | Reem Saadeh Awwad | Radiology | 8692 Somerset Ln, Germantown, TN 38138-7309 | 2008-06-20 |
| 1639369531 | Diagnostic Ultrasound Consultants | Radiology | 1300 Wolf Park Dr, Germantown, TN 38138-1741 | 2007-07-26 |
| 1194752683 | Richard Otto Wagner | Radiology | N116w17866 Blackstone Cir, Germantown, WI 53022-5665 | 2006-06-28 |
| 1528012119 | Germantown Outpatient Imaging, LLC | Radiology | 19731 Germantown Rd, Suite 102, Germantown, MD 20874-1203 | 2006-05-19 |
| 1518954759 | Gregory J S Lewis | Radiology | 7600 Wolf River Blvd, Ste 200, Germantown, TN 38138 | 2005-10-03 |
| 1578566741 | Robert L Cockroft | Radiology | 2683 Forest Hill Irene Rd, Germantown, TN 38139-7805 | 2005-05-23 |
| 1912395708 | West Tennessee Imaging, LLC | Radiology | 7600 Wolf River Blvd, Suite 100, Germantown, TN 38138-1744 | 2014-12-31 |
| 1760826788 | Kelly Ford | Radiology | 7695 Poplar Pike Ste 101, Germantown, TN 38138-5947 | 2013-04-21 |
| 1154764462 | Christopher Bates | Radiology | 7695 Poplar Pike Ste 101, Germantown, TN 38138-5947 | 2013-04-17 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.