MR. STEVEN ROBERT BOUYACK (NPI# 1609379809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609379809 |
| Entity Type | Individual |
| Full Name | MR. STEVEN ROBERT BOUYACK |
| Credential | PA-C |
| Practice Address |
303 E Town St Columbus OH 43215 |
| Mailing Address |
303 E Town St Columbus OH 43215-4601 |
| Practice Telephone | 6147885000 |
| Practice Fax Number | 6147885510 |
| Mailing Telephone | 6147885000 |
| Mailing Fax Number | 6147885100 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.005428RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE MEDICAL BOARD OF OHIO | 50.005428RX | 01 |
| OH | 0315708 | 05 | |
| NCCPA | 1149614 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 834 Sheridan Ave Apt A, Bexley, OH 432093923 | 6143092836 |
| Street Address |
303 E TOWN ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656914 | Gregory F Duranko | Physician Assistant | 303 E Town St, Columbus, OH 43215 | 2005-08-15 |
| 1922564285 | Aaron Andrew Musson | Nurse Practitioner | 303 E Town St, Columbus, OH 43215-4601 | 2019-02-12 |
| 1952880593 | Megan Marie Joseph | Nurse Practitioner | 303 E Town St, Columbus, OH 43215-4601 | 2018-08-13 |
| 1174023865 | Adam Scott Rubenstein | Physician Assistant | 303 E Town St, Columbus, OH 43215-4601 | 2018-02-19 |
| 1164970984 | Tiffany Marie Epps | Nurse Practitioner | 303 E Town St, Columbus, OH 43215-4601 | 2016-09-21 |
| 1205260353 | Angela Marie Brown | Physician Assistant | 303 E Town St, Columbus, OH 43215-4601 | 2013-08-26 |
| 1578818779 | James D Miller | Orthopaedic Surgery | 303 E Town St, Columbus, OH 43215 | 2012-07-13 |
| 1104191220 | Brian David Steginsky | Orthopaedic Surgery | 303 E Town St, Columbus, OH 43215 | 2012-03-22 |
| 1851683429 | Stephen Porter Wiseman | Orthopaedic Surgery | 303 E Town St, Columbus, OH 43215-4601 | 2011-05-13 |
| 1154520013 | Lance Miles Maynard | Orthopaedic Surgery | 303 E Town St, Columbus, OH 43215-4601 | 2007-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972960359 | Autumn Combs | Physician Assistant | 437 N Gould Rd Apt F, Columbus, OH 43209-1139 | 2016-01-15 |
| 1740665926 | Julianne Gonzalez | Physician Assistant | 350 Manchester Expy, Columbus, GA 31904-6435 | 2015-07-29 |
| 1629461165 | Michael Bryant | Physician Assistant | 911 Rudgate Rd, Columbus, GA 31904-2948 | 2015-03-09 |
| 1174880447 | Ricky Lee Martin Jr. | Physician Assistant | 2326 18th St Ste 210, Columbus, IN 47201-5362 | 2012-04-11 |
| 1710068374 | April K Howell | Physician Assistant | 2008 Wynnton Rd, Columbus, GA 31906-2407 | 2006-10-18 |
| 1124035399 | Diane L. Mitchell | Physician Assistant | 1130 Talbotton Rd, Columbus, GA 31904-8749 | 2006-08-01 |
| 1194752790 | Karen L Goodale | Physician Assistant | 2881 Nc Hwy 108 E, Columbus, NC 28722-7721 | 2006-06-27 |
| 1164469979 | Mark H Epps | Physician Assistant | 2000 10th Ave Ste 270, Columbus, GA 31901-3706 | 2006-06-01 |
| 1164484689 | Jim Lawrence Mcevers | Physician Assistant | 109 Shult Dr, Suite 101, Columbus, TX 78934-3015 | 2006-04-03 |
| 1972586287 | Susan A Farwell | Physician Assistant | 45 E Mills St, Columbus, NC 28722 | 2005-11-22 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on MR. STEVEN ROBERT BOUYACK.
| 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.