Robert Downey Boutin (NPI# 1922088236, PAC ID# 9830083054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1922088236 |
PAC ID by PECOS | 9830083054 |
Professional Enrollment ID | I20080311000611 |
Full Name | Robert Downey Boutin |
Organization Legal Name | PROGRESSIVE MRI LLC |
Address |
1820 Sweetbay Dr Suite 102 Salisbury MD 21804-1439 |
Phone Number | 4105463390 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
Graduation Year | 1991 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 8325042559 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050441 | STANFORD HEALTH CARE |
Address | Phone | Organization |
---|---|---|
314 Franklin Ave, Suite 406, Berlin, MD 21811-1263 | 4106419560 | PROGRESSIVE MRI LLC |
3713 Lillard Dr, Davis, CA 95618-5071 | 9167340443 | PROGRESSIVE MRI LLC |
1820 Sweetbay Dr, Suite 102, Salisbury, MD 21804-1439 | 4105463390 | PROGRESSIVE MRI LLC |
300 Pasteur Dr, Stanford, CA 94305-2200 | 6507234000 | STANFORD HEALTH CARE |
Organization Legal Name | PROGRESSIVE MRI LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karin Antevil | Diagnostic Radiology | Progressive Mri LLC | 1867 Amherst St, Suite 103, Winchester, VA 22601-2801 |
Mark Monteferrante | Diagnostic Radiology | Progressive Mri LLC | 100 Fulford Ave, Bel Air, MD 21014-3812 |
Street Address |
1820 SWEETBAY DR SUITE 102 |
City | SALISBURY |
State | MD |
Zip | 21804-1439 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carly A Moore | Physician Assistant | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
Usha Natesan | Internal Medicine | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
Vel Natesan | Internal Medicine | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
Lawrence Tawiah | Physician Assistant | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
Melissa R Gunther | Physician Assistant | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
Ashley G Mccready | Nurse Practitioner | Vel Natesan Md Pa | 951 A Mt Hermon Rd, Salisbury, MD 21804 |
Tanya Poisker | Nurse Practitioner | Jonathan C Patrowicz Do Pa | 1820 Sweet Bay Dr, Suite 101, Salisbury, MD 21804-1439 |
Jonathan C Patrowicz | Family Medicine | Jonathan C Patrowicz Do Pa | 1820 Sweet Bay Dr, Suite 101, Salisbury, MD 21804-1439 |
Kazi S Khan | Nephrology | Peninsula Nephrology Associates Pa | 1821 Sweetbay Dr, Suite 1, Salisbury, MD 21804-1664 |
Courtney M Mishler | Physician Assistant | Peninsula Nephrology Associates Pa | 1821 Sweetbay Dr, Suite 1, Salisbury, MD 21804-1664 |
Find all physicians in zip 21804 |
City | SALISBURY |
Zip Code | 21804 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | SALISBURY + DIAGNOSTIC RADIOLOGY |
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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.