Konstantinos D Boudoulas (NPI# 1003976507, PAC ID# 5799823100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1003976507 |
| PAC ID by PECOS | 5799823100 |
| Professional Enrollment ID | I20091104000740 |
| Full Name | Konstantinos D Boudoulas |
| Organization Legal Name | OSU INTERNAL MEDICINE, LLC |
| Address |
3900 Stoneridge Ln Dublin OH 43017-2288 |
| Phone Number | 6148895001 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 5496651408 |
| Number of Group Practice Members | 750 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360085 | OHIO STATE UNIVERSITY STATE HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 410 W 10th Ave, Osu Medical Center, Columbus, OH 43210-1240 | 6142938000 | OSU INTERNAL MEDICINE, LLC |
| 452 W 10th Ave, Ross Heart Hospital, Columbus, OH 43210-1240 | 6142933737 | OSU INTERNAL MEDICINE, LLC |
| 460 W 10th Ave, Osu Internal Medicine The New James, Columbus, OH 43210-1240 | 6142938619 | OSU INTERNAL MEDICINE, LLC |
| 3900 Stoneridge Ln, Dublin, OH 43017-2288 | 6148895001 | OSU INTERNAL MEDICINE, LLC |
| Organization Legal Name | OSU INTERNAL MEDICINE, LLC |
| Physicians | 782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert J. Cook | Hospice/palliative Care | Osu Internal Medicine, LLC | 460 W 10th Ave, Osu Internal Medicine The New James, Columbus, OH 43210-1240 |
| Catherine Ann Ulman | Dermatology | Osu Internal Medicine, LLC | 540 Officenter Pl, Suite 240, Gahanna, OH 43230-5317 |
| Salman Khalid Bhatti | Cardiovascular Disease (cardiology) | Osu Internal Medicine, LLC | 543 Taylor Ave, Columbus, OH 43203-1278 |
| Amy E Pietragallo | Nurse Practitioner | Osu Internal Medicine, LLC | 452 W 10th Ave, Ross Heart Hospital, Columbus, OH 43210-1240 |
| Joanne M Jeter | Internal Medicine | Osu Internal Medicine, LLC | 2001 Polaris Pkwy, Columbus, OH 43240-2000 |
| Sachin S Kale | Hospice/palliative Care | Osu Internal Medicine, LLC | 4019 W Dublin Granville Rd, Stoneridge Medical Center, Dublin, OH 43017-1436 |
| Sethu Madhavan | Nephrology | Osu Internal Medicine, LLC | 300 W 10th Ave, Arthur G James Cancer Hospital, Columbus, OH 43210-1280 |
| Julia A Garrett | Nurse Practitioner | Osu Internal Medicine, LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| William A Houser | Cardiovascular Disease (cardiology) | Osu Internal Medicine, LLC | 2220 Timber Trl, Bellefontaine, OH 43311-9039 |
| Adam T. Ramey | Hospitalist | Osu Internal Medicine, LLC | 410 W 10th Ave, Osu Medical Center, Columbus, OH 43210-1240 |
| Street Address |
3900 STONERIDGE LN |
| City | DUBLIN |
| State | OH |
| Zip | 43017-2288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Michaels | Gastroenterology | Osu Internal Medicine, LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Breanne Anstine | Clinical Social Worker | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Katherine J Walsh | Hematology | Osu Internal Medicine, LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Ayesha K Hasan | Advanced Heart Failure and Transplant Cardiology | Osu Internal Medicine, LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Steven M Dean | Peripheral Vascular Disease | Osu Internal Medicine, LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Carleen Risaliti Spitzer | Pulmonary Disease | Osu Internal Medicine, LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| William T Abraham | Advanced Heart Failure and Transplant Cardiology | Osu Internal Medicine, LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Chipo Bvunzawabaya | Internal Medicine | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Garrie J Haas | Advanced Heart Failure and Transplant Cardiology | Osu Internal Medicine, LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Jesse W Mindel | Neurology | Osu Internal Medicine, LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brady M Bisbocci | Chiropractic | 46141 National Rd, St Clairsville, OH 43017 | |
| Bethany T Dwinnell | Clinical Social Worker | 139 Waterford Dr, Dublin, OH 43017-1148 | |
| James J Barr | Family Medicine | Ohiohealth Corporation | 250 W Bridge St, Suite 101, Dublin, OH 43017-1179 |
| Joseph Carducci | Family Medicine | Ohiohealth Corporation | 250 W Bridge St, Suite 101, Dublin, OH 43017-1179 |
| John David Pelfrey IIi Iii | Family Medicine | Ohiohealth Corporation | 250 W Bridge St, Suite 101, Dublin, OH 43017-1179 |
| Brian J Boyle | Family Medicine | Ohiohealth Corporation | 250 W Bridge St, Suite 101, Dublin, OH 43017-1179 |
| Charles E Markulis | Chiropractic | Complete Chiropractic LLC | 6740 Avery Muirfield Dr A, Dublin, OH 43017-1239 |
| Kaitlyn Schimmoeller | Physician Assistant | Orthopedic and Neurological Consultants Inc | 6770 Avery Muirfield Dr, Dublin, OH 43017-1241 |
| James Christopher Cassandra | Orthopedic Surgery | Orthopedic and Neurological Consultants Inc | 6770 Avery Muirfield Dr, Dublin, OH 43017-1241 |
| Jeremy R Mathis | Orthopedic Surgery | Orthopedic and Neurological Consultants Inc | 6770 Avery Muirfield Dr, Dublin, OH 43017-1241 |
| Find all physicians in zip 43017 | |||
| City | DUBLIN |
| Zip Code | 43017 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | DUBLIN + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Konstantinos D Boudoulas.
| 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.