Boulevard Medical Group Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BOULEVARD MEDICAL GROUP INC.

Practice address

338 Plantation St
Worcester, MA 01604-1637

Phone

(508) 762-4480

Fax

(508) 752-1404

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harshad Chitre, MD

Title

President

Phone

(508) 762-4480

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeane Marie Ferro, NP

  • Nurse Practitioner
  • Worcester, MA
  • NPI 1669786620
  NPD (past)
• Julie Ann Miller, NP

  • Adult Health Nurse Practitioner
  • Boston, MA
  • NPI 1740358829
  NPD (past)
• Katharine J Hooper, FNP

  • Nurse Practitioner
  • Farmington, CT
  • NPI 1033550801
  NPD (past)
• Julie Anne Wright, NP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1578540209
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1487700522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ADAMS ST",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051441",
            "telephone_number": "508-762-4480",
            "fax_number": "508-752-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041637",
            "telephone_number": "508-762-4480",
            "fax_number": "508-752-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "CHITRE",
        "authorized_official_first_name": "HARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-762-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9764500",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi Lynne Bouffard
• Khalid Boukhatem, PHARMD
• Brianna Catherine Boulay
• Michael D Boulay, OTR/L
• Christina Boulet
• Keith Boundy, M.D.
• Micayla Bourette, CNP
• Mikayla Bourgault
• Leslie S Bourne, PHD
• Alyssa Marie Bourque

• Internal Medicine Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.