DANI BOULATTOUF (NPI# 1609006618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609006618 |
| Entity Type | Individual |
| Full Name | DANI BOULATTOUF |
| Credential | M.D. |
| Practice Address |
8105 Ritchie Hwy Pasadena MD 21122-3905 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 4435730564 |
| Practice Fax Number | 4435730565 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0073254 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
8105 RITCHIE HWY |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250600 | Kathleen M. Oleary | Nurse Practitioner | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2005-07-28 |
| 1144709429 | Leah Prescott | Nurse Practitioner | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2018-08-08 |
| 1902329576 | Jordan Mcintosh Sibol | Physician Assistant | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2017-07-25 |
| 1124466644 | Kalila Nicole Walters | Physician Assistant | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2013-06-06 |
| 1740548718 | Muhammad Imran | Family Medicine | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2012-04-27 |
| 1851529267 | Sanjivani Avinash Kolge | Internal Medicine | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2009-06-24 |
| 1851546444 | Nora Jean Bianco | Physician Assistant | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2008-11-24 |
| 1053565994 | Laura Rose Cather | Physician Assistant | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2008-11-05 |
| 1396997136 | Megan Kelley Mathias | Physician Assistant | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2008-10-10 |
| 1356476113 | Kevin Gerard Seaman | Emergency Medicine | 8105 Ritchie Hwy, Pasadena, MD 21122-3905 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609400159 | Arlette Cross | Family Medicine | 4231 Postal Ct Ste 102, Pasadena, MD 21122-7406 | 2020-02-24 |
| 1578109419 | Direct Urgent Care, Inc | Family Medicine | 600 E Colorado Blvd Ste 120, Pasadena, CA 91101-2006 | 2019-11-26 |
| 1871061861 | Kaoru Sakiyama | Family Medicine | 107 S Fair Oaks Ave Ste 225, Pasadena, CA 91105-2083 | 2018-11-07 |
| 1518462779 | Pasadena Total Wellness Clinic, Pllc | Family Medicine | 5763 Fairmont Pkwy, Pasadena, TX 77505-3905 | 2018-03-28 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1386176352 | Mandeep Kaur Singh | Family Medicine | 675 S Arroyo Pkwy Ste 200, Pasadena, CA 91105-3215 | 2017-03-29 |
| 1073987095 | Universal Healthcare Professional Medical PC | Family Medicine | 90 N Madison Ave, Pasadena, CA 91101-1740 | 2015-11-16 |
| 1235514647 | Global Health Consultants | Family Medicine | 7720 Spencer Highway, Pasadena, TX 77505-1866 | 2015-07-27 |
| 1760885065 | Glen Apramian | Family Medicine | 1750 E Colorado Blvd, Pasadena, CA 91106-2225 | 2014-09-30 |
| 1851729461 | Medstaffpc | Family Medicine | 1114 Davis St, Ste 126, Pasadena, TX 77506-4805 | 2013-10-16 |
| Find all providers in PASADENA | ||||
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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.