Douglas A Bouldin (NPI# 1770568727, PAC ID# 4880693936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770568727 |
| PAC ID by PECOS | 4880693936 |
| Professional Enrollment ID | I20061219000100 |
| Full Name | Douglas A Bouldin |
| Organization Legal Name | INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER O |
| Address |
13353 Olive Blvd Chesterfield MO 63017-3108 |
| Phone Number | 8446994301 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426348418 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13353 Olive Blvd, Chesterfield, MO 63017-3108 | 8446994301 | INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER O |
| Organization Legal Name | INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER O |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Ryan Rozell | Chiropractic | Integrated Medicine and Chiropractic Regeneration Center O | 263 Salt Lick Rd, Saint Peters, MO 63376-5974 |
| Hillary Dawn Gibson | Physical Therapy | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Michelle Flanagan | Physical Therapy | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Devin C Bell | Family Medicine | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Julie Stutko | Nurse Practitioner | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Blake Edward Mcgrath | Chiropractic | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Chad A May | Chiropractic | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Lance R Hatch | Chiropractic | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Cynthia Davis | Chiropractic | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Keshav S Joshi | Anesthesiology | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Street Address |
13353 OLIVE BLVD |
| City | CHESTERFIELD |
| State | MO |
| Zip | 63017-3108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary Dawn Gibson | Physical Therapy | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Michelle Flanagan | Physical Therapy | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Devin C Bell | Family Medicine | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Julie Stutko | Nurse Practitioner | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Blake Edward Mcgrath | Chiropractic | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Chad A May | Chiropractic | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Lance R Hatch | Chiropractic | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Cynthia Davis | Chiropractic | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Keshav S Joshi | Anesthesiology | Integrated Medicine and Chiropractic Regeneration Center O | 13353 Olive Blvd, Chesterfield, MO 63017-3108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett Edward Hammers | Physical Therapy | Prorehab PC | 14825 N Outer 40 Rd, Suite 300, Chesterfield, MO 63017-0002 |
| Hannah M Steele | Physical Therapy | Prorehab PC | 14825 N Outer 40 Rd, Suite 300, Chesterfield, MO 63017-0002 |
| Sumeet Aggarwal | Physical Therapy | Prorehab PC | 14825 N Outer 40 Rd, Suite 300, Chesterfield, MO 63017-0002 |
| Ryan Shane Bates | Chiropractic | 4 W Dr, Suite 100, Chesterfield, MO 63017-0003 | |
| Michael E Murphy | Chiropractic | 4 W Dr, Suite 100, Chesterfield, MO 63017-0003 | |
| Larry E Burrell | Chiropractic | 4 W Dr, Suite 100, Chesterfield, MO 63017-0003 | |
| Caroline A Morgan | Obstetrics/gynecology | West County Women's Healthcare, LLC | 222 S Woods Mill Rd, 360n, Chesterfield, MO 63017-0004 |
| Jessica Baldetti | Obstetrics/gynecology | West County Women's Healthcare, LLC | 222 S Woods Mill Rd, 360n, Chesterfield, MO 63017-0004 |
| Julie A Gould | Obstetrics/gynecology | West County Women's Healthcare, LLC | 222 S Woods Mill Rd, 360n, Chesterfield, MO 63017-0004 |
| Beth J Gearhart | Obstetrics/gynecology | 222 S Woods Mill Rd, 360n, Chesterfield, MO 63017-0004 | |
| Find all physicians in zip 63017 | |||
| City | CHESTERFIELD |
| Zip Code | 63017 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHESTERFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Douglas A Bouldin.
| 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.