DR. SARA BOURAEE (NPI# 1285823401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285823401 |
Entity Type | Individual |
Full Name | DR. SARA BOURAEE |
Credential | DPM |
Practice Address |
3000 Coliseum Dr Suite 205 Hampton VA 23666-5963 |
Mailing Address |
1155 Professional Dr Williamsburg VA 23185-3329 |
Practice Telephone | 7572247605 |
Practice Fax Number | 7572516236 |
Mailing Telephone | 7572203311 |
Enumeration Date | 2007-10-24 |
Last Update Date | 2019-11-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | SC005847 | PA | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103301022 | VA | Podiatric Medicine & Surgery Service Providers |
Street Address |
3000 COLISEUM DR SUITE 205 |
City | HAMPTON |
State | VA |
Zip Code | 23666-5963 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457355075 | Ilham Cherrouk Grant | Hospitalist | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2005-06-10 |
1639783798 | Aftab Dee Shaikh | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2020-09-04 |
1205462496 | Lindsay Morgan Wilson | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2020-03-19 |
1346898715 | Megan Leanne Mancinelli | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-08-29 |
1811541519 | Hope Christopher Page | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-07-31 |
1417417213 | Katherine Marie Boucher | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-03-20 |
1861958712 | Emily Dickerson | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-02-15 |
1013481829 | Mary Townsend Adams | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-01-15 |
1801327457 | Rachel Lavender | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2017-03-24 |
1629427588 | Mary Kathryn Winters | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2016-06-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
Find all providers in zip 23666 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932456001 | Jon D Houseworth | Podiatrist | 3000 Coliseum Dr Ste 205, Hampton, VA 23666-5963 | 2012-08-08 |
1750678645 | Mirsada Hasanovic | Podiatrist | 2202 Executive Dr Ste A, Hampton, VA 23666-6604 | 2011-06-30 |
1386677805 | Alberto Francisco Orosco Jr. | Podiatrist | Hampton Veterans Hospital, Emancipation Drive, Hampton, VA 23667-0001 | 2006-07-08 |
1417950973 | Arnold Sherman Beresh | Podiatrist | 2202 Executive Dr, Ste A, Hampton, VA 23666-6604 | 2005-05-27 |
1467014001 | Sara Bouraee, LLC | Podiatrist | 3000 Coliseum Dr Ste 205, Hampton, VA 23666-5963 | 2019-07-03 |
1619448420 | American Foot & Ankle Center | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2018-12-06 |
1851474944 | David Gary Morgan Sr. | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2006-10-23 |
1700974243 | Peninsula Foot & Ankle Specialists Plc | Podiatrist | 2202 Executive Dr, Suite A, Hampton, VA 23666-6604 | 2006-10-10 |
1477510840 | Calvin Herbert Kibwe Sydnor Iv | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2006-04-28 |
1295792562 | Earnest Paul Sims Mawusi | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2006-04-28 |
Find all providers in HAMPTON |
Please comment or provide details below to improve the information on DR. SARA BOURAEE.
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.