Mireille N Boutry
MD | Pediatrics | Female
Mireille N Boutry, MD is a Cleveland, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mireille N Boutry is
11100 Euclid Ave, Cleveland, Ohio - 44106-1716. She can be contacted on phone at
216-844-7700 and fax number 216-286-6341.
Mireille N Boutry is a sole proprietor of her business.
NPI number (Unique professional ID) for Mireille N Boutry is
1932127750 which was assigned by NPPES on 18 Jul, 2006 and it was last updated on 30 Jun, 2011.
Mireille N Boutry license number is
35-060531 for Pediatrics (208000000X) in Ohio.
Mireille N Boutry 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:
Mireille N Boutry basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mireille N Boutry |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Mireille N Boutry 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 : | 11100 Euclid Ave
Cleveland, OH, 44106-1716
United States |
|---|
| Phone Number : | 216-844-7700 |
|---|
| Fax Number : | 216-286-6341 |
|---|
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 : | 1932127750 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 18 Jul, 2006 |
|---|
| Last Updated On : | 30 Jun, 2011 |
|---|
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 Mireille N Boutry are as mentioned. Primary taxonomy code for Mireille N Boutry, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35-060531 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Mireille N Boutry such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0635168 | Other | OH | AETNA |
| 738036 | Other | OH | BUCKEYE |
| 370001902 | Other | OH | RAILROAD MEDICARE |
| 000000027989 | Other | OH | ANTHEM |
| 0822695 | Other | OH | BCMH |
| 1011820810001 | Other | PA | PA MEDICAID |
| 000000220998 | Other | OH | UNISON |
| 000000525909 | Other | OH | ANTHEM |
| 363375 | Other | OH | WELLCARE |
| 0822695 | MEDICAID | OH | |
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 : | 24701 Euclid Ave, 3rd Floor
Euclid, OH, 44117-1714
United States |
|---|
Business Location:
Patients can refer following map for directions to
Mireille N Boutry practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.