DR. JEREMY BOUSSELOT (NPI# 1558660811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558660811 |
| Entity Type | Individual |
| Full Name | DR. JEREMY BOUSSELOT |
| Credential | M.D. |
| Practice Address |
1701 N George Mason Dr Department of Medicine Arlington VA 22205-3610 |
| Mailing Address |
500w Annandale Rd Falls Church VA 22046-4205 |
| Practice Telephone | 7035585000 |
| Mailing Telephone | 7035216662 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2015-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101255360 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1701 N GEORGE MASON DR DEPARTMENT OF MEDICINE |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178098 | Anna Barbara Korzan | Internal Medicine | 1701 N George Mason Dr, Kaiser Permanente Virginia Hospital Center, Arlington, VA 22205-3610 | 2005-07-19 |
| 1578161709 | Alexandra Leigh Silver | Registered Nurse | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-10-09 |
| 1861007874 | Margaret Frances Downing | Nurse Practitioner | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-09-15 |
| 1902416647 | Jennifer Ngoc Nguyen | Registered Nurse | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-08-07 |
| 1083222863 | Ada Healthcare LLC | Acupuncturist | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-07-17 |
| 1790306660 | Marcus Asante | Pharmacy Technician | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-05-02 |
| 1932720901 | Van A Huynh | Pharmacy Technician | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-05-01 |
| 1316571110 | Jessica Lauren Mattfeld | Physician Assistant | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-03-02 |
| 1780216283 | Naomi Sloan | Nurse Anesthetist, Certified Registered | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-02-12 |
| 1053943589 | Kathryn Freeman | Nurse Anesthetist, Certified Registered | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113783 | Tiger Telemedicine | Internal Medicine | 1107 S Walter Reed Dr Apt 204, Arlington, VA 22204-4371 | 2020-10-30 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
| 1023663846 | Cam Equity LLC | Internal Medicine | 1720 Oak Village Blvd Ste 200a, Arlington, TX 76017-7950 | 2019-08-08 |
| 1831659515 | Denisha Robinson | Internal Medicine | 3600 Matlock Rd Ste 200, Arlington, TX 76015-3679 | 2019-03-20 |
| 1881196343 | Albitar Medical Consulting Pllc | Internal Medicine | 1000 Cooper Street, Arlington, TX 76011 | 2018-03-01 |
| 1972036226 | Bureeni Internal Medicine Pllc | Internal Medicine | 1614 Weeping Willow Ln, Arlington, TX 76002-4642 | 2017-04-04 |
| 1346791654 | One Call Healthcare Pllc | Internal Medicine | 1 Farmer Cir, Arlington, MA 02474-2866 | 2016-10-21 |
| 1316492937 | Amy Sue Bloom | Internal Medicine | 2100 Crystal Dr, 10102a, Arlington, VA 22202-3784 | 2016-08-24 |
| 1659727105 | Sharon Ogidan | Internal Medicine | 1700 Greenbend Dr, Arlington, TX 76018-4828 | 2016-05-13 |
| 1790149300 | Mahmoud Khalaf | Internal Medicine | 7700 Sharon Lee Dr # 1, Arlington, TX 76001-7092 | 2016-04-09 |
| Find all providers in ARLINGTON | ||||
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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.