ERIC B BOULDIN (NPI# 1316232382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316232382 |
| Entity Type | Individual |
| Full Name | ERIC B BOULDIN |
| Credential | D.P.M. |
| Practice Address |
108 N Spring St Manchester Manchester TN 37355-1563 |
| Practice Telephone | 9317283988 |
| Practice Fax Number | 9317286530 |
| Mailing Telephone | 9317283988 |
| Mailing Fax Number | 9317286530 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
713 | TN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
108 N SPRING ST MANCHESTER |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009216 | Mark B Superstein | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2005-08-09 |
| 1649403080 | Cristi Lee Bouldin | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2009-09-02 |
| 1437306198 | Middle Tennessee Foot Associates P C | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376987537 | Kristin Tiffany Visco | Podiatrist | 424 Hanover St, Manchester, NH 03104-5101 | 2013-04-18 |
| 1144453895 | Podiatry Center of Eastern Ct, LLC | Podiatrist | 360 Tolland Tpke Ste 2c, Manchester, CT 06042-1770 | 2009-08-28 |
| 1033216122 | Peter Kasyjanski | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2006-09-20 |
| 1922009216 | Mark B Superstein | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2005-08-09 |
| 1649403080 | Cristi Lee Bouldin | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2009-09-02 |
| 1437306198 | Middle Tennessee Foot Associates P C | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2008-08-25 |
| 1952589434 | Connecticut Surgical Group, PC | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2008-02-06 |
| 1639360381 | Luke C Jeffries | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2007-08-07 |
| 1013075993 | Barry Alan Frank | Podiatrist | 384 Wilson St, Manchester, NH 03103-4912 | 2006-12-05 |
| 1720170368 | Steven R Rudman | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2006-09-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
Please comment or provide details below to improve the information on ERIC B BOULDIN.
| 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.