RYAN BOUTIN (NPI# 1699094201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699094201 |
| Entity Type | Individual |
| Full Name | RYAN BOUTIN |
| Credential | DO |
| Practice Address |
28 Crescent Street Middlesex Hospital Middletown CT 06457-3650 |
| Mailing Address |
28 Crescent St Middlesex Hospital Middletown CT 06457-3654 |
| Practice Telephone | 8603585322 |
| Practice Fax Number | 8603586298 |
| Mailing Telephone | 8603585322 |
| Mailing Fax Number | 8603586298 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
53426 | CT | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 53426 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
28 CRESCENT STREET MIDDLESEX HOSPITAL |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164405619 | Rebecca Lynn Edwards | Nurse Practitioner | 28 Crescent Street, Middlesex Hospital Hospice and Palliative Care, Middletown, CT 06457 | 2005-11-29 |
| 1679003800 | Marlene A Baldizon | Psychologist | 28 Crescent Street, Middlesex Hospital, Middletown, CT 06457 | 2017-06-20 |
| 1518131804 | Bridgit Mennite | Emergency Medicine | 28 Crescent Street, Middlesex Medical Center, Middletown, CT 06457-3650 | 2008-04-17 |
| 1306010723 | Jonathan Michael Glick | Emergency Medicine | 28 Crescent Street, Middlesex Hospital, Middletown, CT 06457 | 2008-04-16 |
| 1912114943 | Heather Lee Paxton | Psychiatry & Neurology | 28 Crescent Street, Middlesex Hospital, Department of Psychiatry, Middletown, CT 06457-3654 | 2007-05-17 |
| 1255366332 | Todd Everett | Radiology | 28 Crescent Street, Middlesex Hospital, Middletown, CT 06457 | 2006-07-11 |
| 1710911508 | Craig Walden | Radiology | 28 Crescent Street, Middlesex Hospital, Middletown, CT 06457 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255827929 | Nicholas G. Powell | Hospitalist | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2018-07-06 |
| 1245682277 | Ibtesam Khan | Hospitalist | 707 E Main St, Middletown, NY 10940-2650 | 2016-07-01 |
| 1558776468 | Central Orange Physician Services | Hospitalist | 707 E Main St, Middletown, NY 10940-2650 | 2014-06-30 |
| 1023459401 | Mvhe, Inc | Hospitalist | 1 Medical Center Dr, Middletown, OH 45005-2584 | 2013-07-12 |
| 1659630705 | Shiqing Yan | Hospitalist | 707 E Main St, Middletown, NY 10940-2650 | 2012-05-10 |
| 1316273493 | Sumeet Smotra | Hospitalist | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2009-10-26 |
| 1578729174 | Harmanpreet Singh Shinh | Hospitalist | 1 Medical Center Dr, Cogent Hmg Hospitalist Office, Middletown, OH 45005-2584 | 2008-08-03 |
| 1043487978 | Niranjan K Patel | Hospitalist | 155 Crystal Run Rd, Middletown, NY 10941 | 2008-05-09 |
| 1811169253 | Nadia Muhammad Mustafa | Hospitalist | 707 E Main St, Middletown, NY 10940-2650 | 2008-03-26 |
| 1265637128 | Justin Chuba Ngene | Hospitalist | 28 Crescent St, Middletown, CT 06457-3654 | 2007-06-19 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.