NPIMap

Organization Active NPI

Joseph a Boulay Jr MD PA

  • Gastroenterology Physician
  • St Petersburg, FL
National Provider Identifier
1295058550
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME40296 Issued in FL
Legal business name
JOSEPH A BOULAY JR MD PA
Practice address
6198 52ND St S
St Petersburg, FL 33715-2405
Phone
(727) 410-6399
NPI assigned
Mar 1, 2010
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Joseph Boulay, M.D.NPI 1962467910
Title
Owner
Phone
(727) 410-6399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME40296 FL Primary

Addresses

Primary practice location

6198 52ND St S
St Petersburg, FL 33715-2405

Mailing address

6198 52ND St S
St Petersburg, FL 33715-2405
Phone (727) 410-6399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1295058550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6198 52ND ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337152405",
            "telephone_number": "727-410-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6198 52ND ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337152405",
            "telephone_number": "727-410-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A BOULAY JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "BOULAY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-410-6399",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME40296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.