Individual Healthcare Provider
Ellen Florence Boudreau, M.D.
Provider's NPPES record last updated: January 16, 2017
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1053325621
- Primary Specialty
- Military Health Care Provider
- Practice Location
- Columbia, Maryland
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 3:12 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Military Health Care Provider
Other Service Providers
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Taxonomy code 171000000X
Provider-Reported License Information
- Military Health Care Provider (Maryland)
- D0035540
Practice Locations
Practice Location
6405 Cardinal Ln
Columbia, Maryland 21044-4020
Phone: (301) 452-7115
Record Information
- Enumeration Date
- July 28, 2006
- Provider's NPPES Record Last Updated
- January 16, 2017
- NPISignal NPPES Dataset
- August 2026
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