Joseph a Boulay Jr MD PA

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

Organization subpart

No

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

Authorized official

Name

Joseph Boulay, M.D.

Title

Owner

Phone

(727) 410-6399

Specialties & licenses 1

Addresses

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": []
}

• Ktoya Jordan
• Onnie Bishop Jordan, RDN, LD
• Valerie D Jordan
• Walter Jerome Jordan
• Jorge a Rodriguez MD PLLC
• Annie Joseph, MD
• Gerard Michael Joseph, BA
• Jasmyne Joseph, TCM
• Kaline Joseph
• Josh Samuel DMD PA

• Gastroenterology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Gastroenterology Physician in Florida

• 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.