Delora K Boaz (NPI# 1285637389, PAC ID# 1254232721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1285637389 |
| PAC ID by PECOS | 1254232721 |
| Professional Enrollment ID | I20040407001088 |
| Full Name | Delora K Boaz |
| Organization Legal Name | CENTERSTONE OF KENTUCKY, INC |
| Address |
530 S Jackson St Louisville KY 40202-1675 |
| Phone Number | 5025891100 |
| Gender | F |
| Credential | CSW |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1759294424 |
| Number of Group Practice Members | 61 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2650 W Broadway, Louisville, KY 40211-1333 | 5025891100 | CENTERSTONE OF KENTUCKY, INC |
| 530 S Jackson St, Louisville, KY 40202-1675 | 5025891100 | CENTERSTONE OF KENTUCKY, INC |
| Organization Legal Name | CENTERSTONE OF KENTUCKY, INC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad Goebel | Clinical Social Worker | Centerstone of Kentucky, Inc | 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 |
| Donna M Mcrae-toney | Clinical Social Worker | Centerstone of Kentucky, Inc | 2105 Crums Lane, Louisville, KY 40216-4231 |
| Elizabeth S Jackson | Psychologist, Clinical | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Penny Moers | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Christina Gaines | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Susan B Buckman | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Erin E Schilling | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Joanna L Nahinsky | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Nancy E Renick | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Candace M Shireman | Nurse Practitioner | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Street Address |
530 S JACKSON ST |
| City | LOUISVILLE |
| State | KY |
| Zip | 40202-1675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Marques | Obstetrics/gynecology | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Maxwell Boakye | Neurosurgery | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Kavita Mehta | Anesthesiology | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Jarrod A Little | Plastic and Reconstructive Surgery | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Scott Beyl | Certified Registered Nurse Anesthetist (crna) | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Penny Moers | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Jessica L Mullins | Certified Registered Nurse Anesthetist (crna) | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Stephanie Elizabeth Jones | Certified Registered Nurse Anesthetist (crna) | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Christina Gaines | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Daniel Stewart Metzinger | Obstetrics/gynecology | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Becker | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Elizabeth A Mills | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Barry R Pecha | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Ryan J Malone | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephan J Sweitzer | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Kelly M Gollar | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| David H Rosenbaum | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Richard N Medley Iii | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephanie A Corbett | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephanie A Flaspoehler | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Find all physicians in zip 40202 | |||
| City | LOUISVILLE |
| Zip Code | 40202 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LOUISVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Delora K Boaz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.