GEORGE BOUKAS
Student in an Organized Health Care Education/Training Program

Address: 160 E Erie Ave, Philadelphia, PA 19134-1011

GEORGE BOUKAS (NPI# 1285228197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285228197
Entity Type Individual
Full Name GEORGE BOUKAS
Gender Male
Practice Address 160 E Erie Ave
Philadelphia
PA 19134-1011
Practice Telephone 2154275213
Mailing Address 160 E Erie Ave
Philadelphia
PA 19134-1011
Mailing Telephone 2154275213
Certification Date 2021-02-22
Enumeration Date 2021-02-22
Last Update Date 2021-02-22
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 160 E ERIE AVE
City PHILADELPHIA
State PA
Zip Code 19134-1011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093309387 Erica Noelle Taupier Dietitian, Registered · Nutrition, Metabolic 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-26
1881288868 Hannah M Eichen Student in an Organized Health Care Education/Training Program 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-21
1164015335 Caitlin Marie Distefano Student in an Organized Health Care Education/Training Program 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-18
1891388393 Josue Diaz-Melendez Student in an Organized Health Care Education/Training Program 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-16
1114510716 Zaki Mustacchi Student in an Organized Health Care Education/Training Program 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-15
1942891775 Michael Levin Pharmacist 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-03
1013507565 Stc Pediatrics LLC Occupational Therapist 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-01-19
1134719685 Stc Pediatrics LLC Physical Therapist 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-01-19
1548850092 Stc Pediatrics LLC Speech-Language Pathologist 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-01-19
1104415926 Gabrielle Longo Dietitian, Registered 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-01-15
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326603275 Nikita Gupta Student in an Organized Health Care Education/Training Program St Christophers Hospital for Children, 160 E. Erie Avenue, Philadelphia, PA 19134-1011 2019-05-07
1609371293 Sujung Kim Student in an Organized Health Care Education/Training Program St. Christopher's Hospital for Children Peds Residency, 160 E Erie Avenue, Philadelphia, PA 19134-1011 2018-03-27
1518379577 Hillary Aaron Moore Pediatrics 160 E. Erie Ave., St. Christopher's Hospital for Children, Philadelphia, PA 19134-1011 2014-05-27

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1528680311 Isaiah Abraham Grossman Student in an Organized Health Care Education/Training Program 160 E. Erie Avenue, St. Christopher's Hospital for Children, Pediatric Resi, Philadelphia, PA 19134 2020-05-14
1447871546 Elisabeth Hodara Student in an Organized Health Care Education/Training Program Pediatric Residency Program, 160 E. Erie Avenue, Philadelphia, PA 19134 2020-04-29
1871137208 My Philadelphia Pharmacy Inc · Your Philly Pharmacy Pharmacy 2901 E Thompson St, Front Store, Philadelphia, PA 19134 2019-10-29
1588125793 Bret Johnson Student in an Organized Health Care Education/Training Program Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 2019-03-29
1053881672 Ana Y Almanzar Psychologist 3513 North Water Street, Philadelphia, PA 19134 2018-11-27
1861974206 Stephanie C Curtis Registered Nurse · Pediatrics St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 2018-09-01
1366929903 Humane Home Care Agency Home Health 3235 Kensington Ave, Philadelphia, PA 19134 2018-07-26
1700370178 Natalie Martinez Case Manager/Care Coordinator 3528 I St Ste 1, Philadelphia, PA 19134 2018-06-19
1073006482 Rachel Mccormick Nurse Practitioner · Pediatrics St. Christopher's Hospital for Children, 160 East Erie Ave, Philadelphia, PA 19134 2018-06-11
1205352309 Personal Injury Clinic PC Chiropractor 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 2017-08-21
Find all providers in zip 19134

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780279158 Cally Richardson 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-07
1730774365 Veronica Kim-Quy Pham 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-05
1659966729 Jessica Clark 1025 Walnut St, Philadelphia, PA 19107-5001 2021-03-01
1851986996 Amanda Marie Fellin 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-01
1881289965 Bruna Kiane Ruthner 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-01
1306430079 Nicholas Decarlo 4190 City Ave Ste 207, Philadelphia, PA 19131-1627 2021-02-23
1336733070 Ruth Michelle Joanis 4190 City Ave, Philadelphia, PA 19131-1626 2021-02-23
1427642263 Tia Rose Wisdo 4170 City Ave, Philadelphia, PA 19131 2021-02-23
1215521299 Jessica Huston 4170 City Ave, Philadelphia, PA 19131-1610 2021-02-22
1881288868 Hannah M Eichen 160 E Erie Ave, Philadelphia, PA 19134-1011 2021-02-21
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.