Philip C Boulanger
LEGACY CARE LLC


Address: 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Phone: 7572220300

Philip C Boulanger (NPI# 1083685366, PAC ID# 6507881901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1083685366
PAC ID by PECOS 6507881901
Professional Enrollment ID I20051013000716
Full Name Philip C Boulanger
Organization Legal Name LEGACY CARE LLC
Address 2901 S Lynnhaven Rd
Suite 450
Virginia Beach
VA 23452-8524
Phone Number 7572220300
Gender M
Credential MD
Medical School UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 1996
Primary Specialty GENERAL PRACTICE
Group Practice PAC ID 0042458200
Number of Group Practice Members 102
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490032 MEDICAL COLLEGE OF VIRGINIA HOSPITALS
490007 SENTARA NORFOLK GENERAL HOSPITAL
490059 BON SECOURS ST MARYS HOSPITAL

Other Locations

Address Phone Organization
2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524 7572220300 LEGACY CARE LLC

Organization Information

Organization Legal Name LEGACY CARE LLC
Physicians 105

Physicians with the same organization

Name Specialty Organization Address
Helen L Cruz Nurse Practitioner Legacy Care LLC 1840 Reisterstown Rd, Pikesville, MD 21208-1305
Leroy Jackson Endocrinology Legacy Care LLC 2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380
Harsukh Panchabhai Patolia Internal Medicine Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Tonja L Gadsden Internal Medicine Legacy Care LLC 1015 15th St Nw, Suite 1000, Washington, DC 20005-2621
Sidney Nelson Iii Internal Medicine Legacy Care LLC 1840 Reisterstown Rd, Pikesville, MD 21208-1305
Ralph D Hellams Jr. Family Medicine Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Tracy T Germaine Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Judith L Albert Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Elizabeth Peters Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Emily Danielle Wilson Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524

Office Location

Street Address 2901 S LYNNHAVEN RD
SUITE 450
City VIRGINIA BEACH
State VA
Zip 23452-8524

Physicians in the same location

Name Specialty Organization Address
Harsukh Panchabhai Patolia Internal Medicine Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Ralph D Hellams Jr. Family Medicine Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Tracy T Germaine Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Judith L Albert Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Elizabeth Peters Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Emily Danielle Wilson Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Kristle Maria Chambers Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Kathleen Marie Anderson Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
Krystal Kc Lauer Nurse Practitioner Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
William C Reed Jr. Internal Medicine Legacy Care LLC 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524
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Physicians in the same zip code

Name Specialty Organization Address
David E Ranzette Chiropractic 4664 S Blvd, Suite 101, Virginia Beach, VA 23452-1058
Aaron Mangino Chiropractic Health With Hands LLC 441 S Independence Blvd, Suite 4, Virginia Beach, VA 23452-1105
Scott J Birckbichler Chiropractic 485 S Independence Blvd, Suite 111, Virginia Beach, VA 23452-1129
Andra S Foster Chiropractic 505 S Independence Blvd, Suite 105, Virginia Beach, VA 23452-1150
James F Lassiter Psychologist, Clinical 4560 S Blvd, Suite 300, Virginia Beach, VA 23452-1160
James Maggio Jr. Chiropractic 525 S Independence Blvd, Suite 190, Virginia Beach, VA 23452-1189
Michael Amare Chiropractic 525 S Independence Blvd, Suite 190, Va Beach, VA 23452-1189
Molly Jordan Howlett Qualified Audiologist 4356 Bonney Rd, Bldg 1 Suite 102, Virginia Beach, VA 23452-1200
Robert Paul Seim Optometry 4217 Virginia Beach Blvd, Virginia Beach, VA 23452-1232
Brian Dolmat Chiropractic 4301 Virginia Beach Blvd, Virginia Beach, VA 23452-1250
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Competitor

Search similar physicians

City VIRGINIA BEACH
Zip Code 23452
Specialty GENERAL PRACTICE
City + Specialty VIRGINIA BEACH + GENERAL PRACTICE

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Dataset Information

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.

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