Douglas A Boudreau
MD | Pediatrics | Male
Douglas A Boudreau, MD is a Jefferson City, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Douglas A Boudreau is
1125 Madison St, Jefferson City, Missouri - 65101-5227. He can be contacted on phone at
573-632-5525 and fax number 573-632-5811.
Douglas A Boudreau is a sole proprietor of his business.
NPI number (Unique professional ID) for Douglas A Boudreau is
1598720617 which was assigned by NPPES on 20 Apr, 2006 and it was last updated on 10 Feb, 2016.
Douglas A Boudreau license number is
118554 for Pediatrics (208000000X) in Missouri.
Douglas A Boudreau is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Douglas A Boudreau basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Douglas A Boudreau |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Douglas A Boudreau address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1125 Madison St
Jefferson City, MO, 65101-5227
United States |
|---|
| Phone Number : | 573-632-5525 |
|---|
| Fax Number : | 573-632-5811 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598720617 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Apr, 2006 |
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| Last Updated On : | 10 Feb, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas A Boudreau are as mentioned. Primary taxonomy code for Douglas A Boudreau, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 118554 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Douglas A Boudreau such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 204659403 | Other | MO | MEDICAID |
| H00943 | Other | | MERCY |
| 207515500 | Other | MO | MEDICAID |
| 440546366 | Other | | UNITED HEALTHCARE |
| 7609055 | Other | | AETNA |
| 124669 | Other | | BLUE CROSS BLUE SHIELD |
| 204659403 | MEDICAID | MO | |
| 1724934 | Other | | FIRST HEALTH |
| 411755 | Other | | HEALTHLINK |
| PC10371 | Other | | CIGNA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1125 Madison St
Jefferson City, MO, 65101-5227
United States |
|---|
| Phone Number : | 573-632-5525 |
|---|
| Fax Number : | 573-632-5811 |
|---|
Business Location:
Patients can refer following map for directions to
Douglas A Boudreau practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.