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Deactivated NPI 1124027461 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas R Boulter , MD

Neurological Surgery • Daytona Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Boulter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Boulter, MD was a registered Neurological Surgery practicing in Daytona Beach, FL. Throughout an active medical career spanning 1 years, Dr. Boulter provided care at the practice location at 311 N CLYDE MORRIS BLVD until profile deactivation on 2006-03-20.

Practice Location & Contact Primary Location

Practice Address

311 N Clyde Morris Blvd
Suite 580

Daytona Beach, FL 321142781

Telephone 3862575055
Fax 3862575058
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.8 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Daytona Beach, FL (675 Statewide)

Telehealth Adoption Rate
37.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License FL ME0013915

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
J Kerr , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003835927

Certified Registered Nurse Anesthetist

NPI 1003880626

Doctor of Medicine (M.D.)

Dr. Ebel Silva , MD

Anesthesiology

NPI 1023022654

Doctor of Medicine (M.D.)

NPI 1063719672

Registered Dietitian, Licensed Dietitian, N, Certified Diabetes Educator

Clayton Saxour , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093913410

Certified Registered Nurse Anesthetist

Patricia Gonzalez

Nurse Anesthetist, Certified Registered

NPI 1104207281

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated May 15, 2025

Record deactivated on May 15, 2025

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Updated Practice Location July 08, 2007

Registered at 311 N CLYDE MORRIS BLVD, SUITE 580, DAYTONA BEACH, FL 321142781 (Tel: 3862575055)

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Updated Business Mailing Address July 08, 2007

Registered at 311 N CLYDE MORRIS BLVD, SUITE 580, DAYTONA BEACH, FL 321142781 (Tel: 3862575055)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS BOULTER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Neurological Surgery (License #ME0013915 in FL)

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NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration July 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124027461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2005
Last Update: July 08, 2007
Deactivation Date: March 20, 2006

Mailing Address

311 N Clyde Morris Blvd, Suite 580

Daytona Beach, FL 321142781

Phone: 3862575055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.