Anthony M Boulos (NPI# 1649402751, PAC ID# 8921329863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1649402751 |
| PAC ID by PECOS | 8921329863 |
| Professional Enrollment ID | I20150604000832 |
| Full Name | Anthony M Boulos |
| Organization Legal Name | EASTERN OHIO PULMONARY CONSULTANTS INC |
| Address |
960 Windham Ct Suite 1 Youngstown OH 44512-5087 |
| Phone Number | 3307263357 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 4183677313 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| 360055 | STEWARD TRUMBULL MEMORIAL HOSPITAL, INC |
| 360276 | HMHP ST ELIZABETH BOARDMAN HEALTH CENTER |
| 360161 | ST JOSEPH WARREN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 | 3307263357 | EASTERN OHIO PULMONARY CONSULTANTS INC |
| Organization Legal Name | EASTERN OHIO PULMONARY CONSULTANTS INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel Antonio Bautista | Pulmonary Disease | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Lawrence S Goldstein | Pulmonary Disease | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Mary Liakaris | Nurse Practitioner | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Jennifer L Cicchillo | Nurse Practitioner | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Ritha Kartan | Pulmonary Disease | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Rebecca S Bailey | Critical Care (intensivists) | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Jamie Lee Teal | Certified Clinical Nurse Specialist (cns) | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Street Address |
960 WINDHAM CT SUITE 1 |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44512-5087 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel Antonio Bautista | Pulmonary Disease | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Lawrence S Goldstein | Pulmonary Disease | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Mary Liakaris | Nurse Practitioner | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Jennifer L Cicchillo | Nurse Practitioner | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Ritha Kartan | Pulmonary Disease | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Rebecca S Bailey | Critical Care (intensivists) | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Jamie Lee Teal | Certified Clinical Nurse Specialist (cns) | Eastern Ohio Pulmonary Consultants Inc | 960 Windham Ct, Suite 1, Youngstown, OH 44512-5087 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | YOUNGSTOWN + PULMONARY DISEASE |
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| 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.