GEORGE BOUKAS (NPI# 1285228197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Street Address | 160 E ERIE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134-1011 |
| 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 | ||||
| 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 |
| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609833896 | Alex Boukas | Dentist · General Practice | 14695 Main Rd, Mattituck, NY 11952-2327 | 2006-04-30 |
| 1235578683 | Alexander Paul Boukas | Pharmacist | 1740 Broadway, Hewlett, NY 11557-1601 | 2013-06-19 |
| 1275715252 | Spiro Boukas | Dentist · General Practice | 1129 Northern Blvd, Suite #401, Manhasset, NY 11030-3022 | 2007-11-30 |
| 1174725253 | Konstantinos Boukas | Pediatrics | 1611 Nw 12th Ave, North Wing, Room 109 (r76), Miami, FL 33136-1005 | 2007-06-01 |
| 1154389203 | St George Nursing Home LLC · Kolob Care & Rehabilitation Center of St. George | Skilled Nursing Facility | 178 S 1200 E, St George, UT 84790-5508 | 2006-05-01 |
| 1659455442 | Palmetto St. George Operating LLC · St. George Healthcare Center | Skilled Nursing Facility | 905 Dukes St, Saint George, SC 29477-2059 | 2006-10-25 |
| 1245780253 | St George Health Care LLC · St George Healthcare Center | Skilled Nursing Facility | 905 Dukes St, Saint George, SC 29477-2059 | 2016-10-13 |
| 1427299726 | Willow Creek Home Care of St. George, L.L.C. | Home Health | 229 E Saint George Blvd, St George, UT 84770-2970 | 2009-03-16 |
| 1841729225 | Ahc of St George LLC · Advanced Health Care of St George | Skilled Nursing Facility | 1934 E Riverside Dr, St George, UT 84790-8034 | 2017-06-08 |
| 1033274451 | St. George Assisted Living LLC · Ridgeview Gardens of St. George | Assisted Living Facility | 220 S 1200 E, St George, UT 84790-5529 | 2006-12-26 |
Please provide details on GEORGE BOUKAS by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| 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.