JOHN S BOSWELL (NPI# 1295936961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295936961 |
| Entity Type | Individual |
| Full Name | JOHN S BOSWELL |
| Credential | MD |
| Practice Address |
5701 N West Ave Fresno CA 93711-2366 |
| Practice Telephone | 5594393000 |
| Practice Fax Number | 5594393004 |
| Mailing Telephone | 5594393000 |
| Mailing Fax Number | 5594393004 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A100542 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A100542 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 0A1005420 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558772111 | John Lee Boswell | Social Worker | 860 Us Highway 1 Ste 203a, North Palm Beach, FL 33408 | 2014-05-16 |
| 1316991219 | John Covington Boswell | Internal Medicine | 255 Baptist Blvd Ste 402, Columbus, MS 39705-2006 | 2006-05-22 |
| 1588179535 | John David Boswell | Physician Assistant | 4076 Neely Road, Fort Wainwright, AK 99703 | 2017-12-12 |
| 1265758411 | John Blue Boswell | Counselor | 4700 Millenia Blvd, Ste 175, Orlando, FL 32839-6013 | 2010-04-13 |
| 1326016957 | John G Boswell | Pathology | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2006-03-09 |
| 1720085228 | John I Boswell IIi | Psychiatry & Neurology | 1315 W College Ave, Suite 303, State College, PA 16801-2776 | 2005-06-30 |
| Street Address |
5701 N WEST AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043395528 | Vivian Josephine Young | Nurse Practitioner | 5701 N West Ave, Fresno, CA 93711-2366 | 2006-10-25 |
| 1255985412 | Brittney Michele Stanley | Dermatology | 5701 N West Ave, Fresno, CA 93711-2366 | 2019-07-26 |
| 1568015121 | Lea Collier Pisching | Nurse Practitioner | 5701 N West Ave, Fresno, CA 93711-2366 | 2019-07-22 |
| 1821567975 | Christina Stempson | Nurse Practitioner | 5701 N West Ave, Fresno, CA 93711-2366 | 2018-11-19 |
| 1982189064 | Jordan Cutts | Nurse Practitioner | 5701 N West Ave, Fresno, CA 93711 | 2018-09-25 |
| 1851769491 | Austin Lee | Physician Assistant | 5701 N West Ave, Fresno, CA 93711 | 2015-09-14 |
| 1831531953 | Kristie Mlynn Cyrus | Nurse Practitioner | 5701 N West Ave, Fresno, CA 93711-2366 | 2013-07-18 |
| 1275871972 | J. Scott Boswell, Md A Medical Corporation | Dermatology | 5701 N West Ave, Fresno, CA 93711-2366 | 2013-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730514 | Amneet Kaur Brar | Dermatology | 7055 N Fresno St Ste 310, Fresno, CA 93720-2957 | 2019-10-03 |
| 1770059552 | Professional Medical Corporation | Dermatology | 1642 E Herndon Ave Ste 104, Fresno, CA 93720-3377 | 2018-10-18 |
| 1518233048 | Jane F. Kardashian, M.d., Inc. | Dermatology | 6769 N. Fresno Street, Fresno, CA 93710 | 2012-03-29 |
| 1134374465 | Cheri Lynne Ponce | Dermatology | 6181 N Thesta St Ste 104, Fresno, CA 93710-8604 | 2008-12-01 |
| 1144482373 | Edgar S. Macias | Dermatology | 7115 N Chestnut Ave Ste 101, Fresno, CA 93720-0361 | 2008-06-29 |
| 1528252038 | Irfan Rahman | Dermatology | 6065 N Fruit Ave, Suite 102, Fresno, CA 93710 | 2007-08-29 |
| 1982789467 | Catherine A. Hoffman Md, Inc. | Dermatology | 1374 East Alluvial Avenue, Fresno, CA 93720-2608 | 2006-10-25 |
| 1043313133 | Leslie Anne Storey | Dermatology | 7777 N. Ingram Ave., Fresno, CA 93711-6281 | 2006-09-06 |
| 1609985704 | Leah Press | Dermatology | 1340 W Herndon Ave Ste 101, Fresno, CA 93711-7180 | 2006-08-30 |
| 1104812452 | Kathleen L Behr | Dermatology | 1125 E Spruce Ave, #207, Fresno, CA 93720-3330 | 2005-09-22 |
| Find all providers in FRESNO | ||||
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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.