Juanita D Boado, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301070760 Issued in MI

Practice address

1 Hurley PLZ
Radiology Dept
Flint, MI 48503-5902

Phone

(810) 424-4761

Fax

(810) 424-4871

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ballenger Road Scanner LLC

  • Diagnostic Radiology Physician
  • Flint, MI
  • NPI 1083621981
  NPD (past)
• Center Road Scanner LLC

  • Neuroradiology Physician
  • Burton, MI
  • NPI 1154338051

  Diagnostic Radiology

  NPD (past)
• Genesys Integrated Group Practice PC

  • Nurse Practitioner
  • Flint, MI
  • NPI 1386782381
  NPD (past)
• Greater Flint Imaging Center

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1558378455
  NPD (past)
• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
  • Flint, MI
  • NPI 1689345761
  NPD (past)
• Linden Road Imaging Center

  dba Lapeer Imaging Center

  • Diagnostic Radiology Physician
  • Flint, MI
  • NPI 1548373483
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144343765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4459",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485040459",
            "telephone_number": "810-424-4761",
            "fax_number": "810-424-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "RADIOLOGY DEPT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-424-4761",
            "fax_number": "810-424-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOADO",
        "first_name": "JUANITA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301070760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakobe Blount
• Jasmine Blount
• Blueberry Healthcare PC
• Amy Nicole Blumenthal
• Sean C Blythe
• Board of Education for City of Flint (Wellness Center)
• Bobbi J. Ramp, MD
• Bobby J Grossi DDS PC (Gateway Dental)
• Tracie Bobrowski, BA, CMHP, QMHP, QIDP
• Dakota Jade Bobruk

• Diagnostic Radiology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.