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Deactivated NPI 1326023029 Deactivated / Inactive NPI Female Practitioner

Dr. Wanda C Boudinot , MD

Pediatrics • Columbus, OH

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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. Wanda Boudinot has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 14, 2005
NPI Deactivation Date January 28, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Wanda Boudinot, MD was a registered Pediatrics practicing in Columbus, OH. Throughout an active medical career spanning 17 years, Dr. Boudinot provided care at the practice location at 4885 OLENTANGY RIVER RD until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

4885 Olentangy River Rd
Suite 2-10

Columbus, OH 432141926

Telephone 6142677878
Fax 6142677077
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
495 Specialists

Practicing in Columbus, OH (3057 Statewide)

Telehealth Adoption Rate
0.6% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35-05-5077

A pediatrician 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.

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1053396754

Doctor of Medicine (M.D.)

NPI 1083826093

Doctor of Medicine (M.D.)

NPI 1265061071

Doctor of Medicine (M.D.)

NPI 1295711679

Doctor of Medicine (M.D.)

NPI 1316072820

Doctor of Medicine (M.D.)

NPI 1659330942

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active January 09, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 09, 2012

Registered at 4885 OLENTANGY RIVER RD, SUITE 2-10, COLUMBUS, OH 432141926 (Tel: 6142677878)

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Updated Business Mailing Address January 09, 2012

Registered at 4885 OLENTANGY RIVER RD, SUITE 2-10, COLUMBUS, OH 432141926 (Tel: 6142677878)

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Provider Name / Credentials Updated January 09, 2012

Recorded as WANDA BOUDINOT, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2012

Pediatrics (License #35-05-5077 in OH)

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Initial NPI Registration & Enumeration December 14, 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: 1326023029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2005
Last Update: January 09, 2012
Deactivation Date: January 28, 2022

Mailing Address

4885 Olentangy River Rd, Suite 2-10

Columbus, OH 432141926

Phone: 6142677878

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.