JUDITH BOUDWIN


Address: 1500 Lansdowne Ave, Darby, PA 19023-1200
Phone: 8564237700

JUDITH BOUDWIN (NPI# 1578591046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578591046
Entity Type Individual
Full Name JUDITH BOUDWIN
Credential CRNA
Practice Address 1500 Lansdowne Ave
Darby
PA 19023-1200
Mailing Address Po Box 827675
Philadelphia
PA 19182-7675
Practice Telephone 8564237700
Practice Fax Number 8564230823
Mailing Telephone 8564237700
Mailing Fax Number 8564230823
Enumeration Date 2006-06-30
Last Update Date 2008-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered RN169641L PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE PIN P00209537 01
PA 101600700001 05

Office Location

Street Address 1500 LANSDOWNE AVE
City DARBY
State PA
Zip Code 19023-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780682427 William J Weir Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2005-07-07
1194333682 Akhil Jain Student in an Organized Health Care Education/Training Program 1500 Lansdowne Ave, Mercy Catholic Medical Center, Darby, PA 19023 2020-07-21
1336757996 Abhigna Uday Kumar Kulkarni Internal Medicine 1500 Lansdowne Ave, Darby, PA 19023-1200 2020-07-20
1194333161 Manila Sharma Student in an Organized Health Care Education/Training Program 1500 Lansdowne Ave, Darby, PA 19023 2020-07-16
1336767656 Venkata Durga Navyam Kagita Student in an Organized Health Care Education/Training Program 1500 Lansdowne Ave, Darby, PA 19023-1200 2020-07-13
1457979833 Rea Harxhi Student in an Organized Health Care Education/Training Program 1500 Lansdowne Ave, Darby, PA 19023-1200 2020-07-11
1952929804 Mahmoud M Shalaby Student in an Organized Health Care Education/Training Program 1500 Lansdowne Ave, Darby, PA 19023-1200 2020-07-08
1790302305 Asad Raza Syed Student in an Organized Health Care Education/Training Program 1500 Lansdowne Ave, Darby, PA 19023-1200 2020-06-30
1265059976 David William Temme Jr. Student in an Organized Health Care Education/Training Program 1500 Lansdowne Ave, Darby, PA 19023-1200 2020-06-29
1740806348 Utsav Aiya Student in an Organized Health Care Education/Training Program 1500 Lansdowne Ave, Darby, PA 19023-1200 2020-06-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972113348 Ibrahim Abdulkadir Ahmed Student in an Organized Health Care Education/Training Program Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 2020-07-31
1437796497 Elizabeth Megan Heyer Emergency Medicine 1500 Lansdowne Aveune, Darby, PA 19023 2019-12-09
1003476813 Nicole Tomkowich Student in an Organized Health Care Education/Training Program 500 Lansdowne Avenue, Darby, PA 19023 2019-06-14
1497220131 Margaret Kathleen Halloran Nurse Practitioner 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 2018-10-09
1427428705 Peter Goanue Counselor 207 North 2nd Street, Darby, PA 19023 2015-09-30
1518363696 Trucompanion Transportation Service Non-emergency Medical Transport (VAN) 100 N 6th Street Apt 2, Darby, PA 19023 2014-11-17
1366872269 Chirman Beatty Licensed Practical Nurse 400 S. 5th St Apt A9, Darby, PA 19023 2013-11-14
1639514151 Advanced Nursing Care Inc Nursing Care 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 2013-05-10
1114277191 Ayesha Farooq Dentist 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 2012-09-17
1366736787 Gi Medical Associates Internal Medicine 320 Macdade Blvd., Collingdale, PA 19023 2011-06-02
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780682427 William J Weir Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2005-07-07
1922284439 Mercy Fitzgerald Crna Services Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2008-01-15
1750464376 Sharon S Quigley Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2006-10-24
1396767711 Allison M Bishof Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2006-07-24
1205858628 Catherine D Brennan Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2006-07-24
1568484988 Margaret Phelan Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2006-07-24
1982626156 Natalie A Mcpherson Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2006-07-24
1487673646 Roberta A Lindsay Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2006-07-19
1487682951 Lorraine Donatelli Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2006-06-30
1013944123 Craig Carpenter Nurse Anesthetist, Certified Registered 1500 Lansdowne Ave, Darby, PA 19023-1200 2006-06-26
Find all providers in DARBY

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City DARBY
Zip Code 19023

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Dataset Information

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.

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