JOSEPH ALFRED BOULAY JR. (NPI# 1962467910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962467910 |
| Entity Type | Individual |
| Full Name | JOSEPH ALFRED BOULAY JR. |
| Credential | M.D. |
| Practice Address |
6198 52nd St S St Petersburg FL 33715-2405 |
| Practice Telephone | 7274106399 |
| Mailing Telephone | 7274106399 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME0040296 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257246000 | 05 |
| Street Address |
6198 52ND ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33715-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184158230 | Carol Anne Boulay | Nurse Practitioner | 6198 52nd St S, St Petersburg, FL 33715-2405 | 2017-04-16 |
| 1295058550 | Joseph A Boulay Jr Md Pa | Internal Medicine | 6198 52nd St S, St Petersburg, FL 33715-2405 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009831 | National Ancillary Network Solutions, LLC | Point of Service | 1117 Pinellas Bayway S. #307, St. Petersburg, FL 33715 | 2020-07-06 |
| 1376070110 | Ashley Smith | Physical Therapist | 5901 Sun Blvd Ste 110, St Petersburg, FL 33715 | 2017-05-11 |
| 1083028146 | Dianne Kathleen Stinger-saldarriaga | Physical Therapist | 5870 51st St S, St Petersburg, FL 33715 | 2014-06-17 |
| 1376862904 | Susan Beth Marcus | Specialist | 719 Pinellas Bayway S, Unit 201, Tierra Verde, FL 33715 | 2010-05-21 |
| 1366404915 | Rachael Anne Haskell | Social Worker | 6177 Sun Blvd, #404, St Petersburg, FL 33715 | 2006-04-06 |
| 1346607116 | Inna Anderson | Nurse Practitioner | 6294 Bahia Del Mar Cir Apt 401, Unit 401, St Petersburg, FL 33715-1086 | 2016-01-25 |
| 1790825453 | David Kazimierz Koszyk | Physical Therapist | 6294 Bahia Del Mar Cir Apt 215, St Petersburg, FL 33715-1088 | 2007-02-08 |
| 1366955205 | Kathy S Buell | Social Worker | 6177 Sun Blvd Apt 404, Saint Petersburg, FL 33715-1146 | 2017-11-14 |
| 1316451040 | Rachael Haskell Phd Resolution Today | Social Worker | 6177 Sun Blvd Apt 404, Saint Petersburg, FL 33715-1146 | 2017-11-16 |
| 1225505571 | Williamsmd LLC | Internal Medicine | 5901 Sun Blvd Ste 206, St Petersburg, FL 33715-1161 | 2018-10-25 |
| Find all providers in zip 33715 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1275821191 | Kavitha Tipirneni Waggoner | Internal Medicine | 500 Trinity Ln N, Apt 8201, St Petersburg, FL 33716-1215 | 2011-07-12 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1588621908 | Robert H Wharton Jr. | Internal Medicine | 4855 1st Ave N, St Petersburg, FL 33713-8107 | 2006-04-28 |
| 1831150408 | Ernst Bontemps | Internal Medicine | 7017 Central Ave, St Petersburg, FL 33710 | 2006-03-31 |
| 1255717641 | St Petersburg Gastroenterology Associates LLC | Internal Medicine | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2015-08-07 |
| 1295058550 | Joseph A Boulay Jr Md Pa | Internal Medicine | 6198 52nd St S, St Petersburg, FL 33715-2405 | 2010-03-01 |
| 1346371085 | Abhitabh Patil | Internal Medicine | 3901 66th St N, Suite 201, St Petersburg, FL 33709-4949 | 2007-03-07 |
| 1619900248 | Center for Digestive Diseases Pa | Internal Medicine | 1609 Pasadena Ave S, Ste 3m, St Petersburg, FL 33707-4563 | 2006-07-08 |
| 1780640714 | Kakuturu Lakshminarasa Reddy | Internal Medicine | 5767 49th St N, Ste A, St Petersburg, FL 33709-2107 | 2006-04-26 |
| 1609831502 | Jayaprakash K Kamath | Internal Medicine | 5767 49th St N, Suite A, St Petersburg, FL 33709-2106 | 2006-04-20 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33715 |
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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.