DR. ROBERT J BOSS (NPI# 1013900646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013900646 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J BOSS |
| Credential | M.D. |
| Practice Address |
450 Tatone Street Boardman OR 97818 |
| Mailing Address |
Po Box 397 Boardman OR 97818 |
| Practice Telephone | 5414817212 |
| Practice Fax Number | 5414812020 |
| Mailing Telephone | 5414817212 |
| Mailing Fax Number | 5414812020 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2012-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00017375 | OR | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD09837 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 004015 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053628404 | Robert Jeffrey Boss | Counselor | 784 High St, San Luis Obispo, CA 93401-5243 | 2010-09-07 |
| 1376680777 | Robert Aaron Boss | Chiropractor | 16125 Cairnway Dr, 116, Houston, TX 77084-3556 | 2007-02-01 |
| Street Address |
450 TATONE STREET |
| City | BOARDMAN |
| State | OR |
| Zip Code | 97818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548320302 | David M Collins | Physician Assistant | 450 Tatone Street, Boardman, OR 97818 | 2006-12-11 |
| 1710084140 | Columbia River Health | Clinic/Center | 450 Tatone Street, Boardman, OR 97818 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1982149647 | Kymberli Dawn Erevia | Specialist | 104 S. W. Kinkade Road, Boardman, OR 97818 | 2017-01-04 |
| 1194277814 | Scott R Ruch | Community/Behavioral Health | 104 Sw. Kinkade Rd, Boardman, OR 97818 | 2016-10-28 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| 1801151121 | Mayra Colin Carrillo | Counselor | 104 S.w. Kinkade Rd., Boardman, OR 97818 | 2012-07-12 |
| 1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
| 1437359387 | Emily Dawn Reynolds | Counselor | 104 Sw Kinkade Road, Boardman, OR 97818 | 2007-07-19 |
| 1548485865 | Hayden Family Dentistry Group | Dentist | 300 Tatone, Boardman, OR 97818 | 2007-04-13 |
| 1336294057 | Brandi Nichole Pollick | Counselor | 101 Nw Boardman Ave, Boardman, OR 97818 | 2007-01-24 |
| Find all providers in zip 97818 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073708251 | George G Ellis Jr Md Inc | Internal Medicine | 910 Boardman Canfield Rd, Boardman, OH 44512-4240 | 2007-09-11 |
| 1013978808 | Thomas E Hunt | Internal Medicine | 7206 Market St Ste 100a, Boardman, OH 44512-4507 | 2006-03-31 |
| 1417930165 | Reema Taneja | Internal Medicine | 1280 Boardman Canfield Rd, Ste 3, Boardman, OH 44512-4073 | 2005-11-28 |
| 1023009412 | Keith Layne Henson | Internal Medicine | 8401 Market Street, C/o Medical Staff Office, Boardman, OH 44512 | 2005-11-03 |
| 1366449233 | Jayshree Rajesh Saraiya | Internal Medicine | 8401 Market St, Boardman, OH 44512 | 2005-07-06 |
| 1013911403 | Thomas Nicholas Detesco | Internal Medicine | 7341 Eisenhower Dr, Boardman, OH 44512-5900 | 2005-06-13 |
| 1083060404 | Amer Aldamouk | Internal Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2016-05-05 |
| 1700231552 | Matar Matar | Internal Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2016-04-29 |
| 1194135475 | Yacoub Baghdy | Internal Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2014-05-07 |
| 1710306139 | Jaspreet Kaur Dhaliwal | Internal Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2014-04-14 |
| Find all providers in BOARDMAN | ||||
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| 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.