DR. JEFFREY MICHAEL BOOS


Address: 12221 N Mo Pac Expy, Austin, TX 78758-2401
Phone: 5129014004

DR. JEFFREY MICHAEL BOOS (NPI# 1477744266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477744266
Entity Type Individual
Full Name DR. JEFFREY MICHAEL BOOS
Credential M.D.
Practice Address 12221 N Mo Pac Expy
Austin
TX 78758-2401
Practice Telephone 5129014004
Practice Fax Number 5129013904
Mailing Telephone 5129014004
Mailing Fax Number 5129013904
Enumeration Date 2007-08-06
Last Update Date 2010-11-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology M8546 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 194606301 05
TX RRMCR P00698106 01

Office Location

Street Address 12221 N MO PAC EXPY
City AUSTIN
State TX
Zip Code 78758-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083618706 Joy Nielsen Urology 12221 N Mo Pac Expy, Austin, TX 78758-2401 2005-06-10
1790129161 Amanda R Morstad Internal Medicine 12221 N Mo Pac Expy, Austin, TX 78758-2401 2013-04-29
1528325586 Matthew Richard Middaugh Internal Medicine 12221 N Mo Pac Expy, Austin, TX 78758-2401 2012-04-16
1104153592 Austin Diagnostic Clinic, Pa Internal Medicine 12221 N Mo Pac Expy, Austin, TX 78758-2401 2009-11-06
1922231810 Austin Diagnostic Clinic, Pa Optometrist 12221 N Mo Pac Expy, Austin, TX 78758-2401 2009-08-26
1255571477 Carmela K Hubler Registered Nurse 12221 N Mo Pac Expy, Austin, TX 78758-2401 2009-02-27
1598923914 Karol L Babyak-moore Audiologist 12221 N Mo Pac Expy, Austin, TX 78758-2401 2008-06-02
1568637452 Janet L Davila Audiologist 12221 N Mo Pac Expy, Austin, TX 78758-2401 2008-04-23
1346434511 Neelu Kohli Dietitian, Registered 12221 N Mo Pac Expy, Austin, TX 78758-2401 2007-08-30
1902096555 Joseph Imsais Internal Medicine 12221 N Mo Pac Expy, Austin, TX 78758-2401 2007-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225644065 Seton Family of Doctors Internal Medicine 3001 Palm Way, D1 : 134-138, Austin, TX 78758 2020-09-17
1083243661 Donna Bella Laurel Portillo Pharmacist 12221 N Mopac Expwy, Austin, TX 78758 2020-04-05
1881249092 Elizabeth Logan Anderson Behavioral Analyst 2100 Kramer Ln., Suite 150, Austin, TX 78758 2019-08-05
1295388502 Bridget Sue Morgan Behavioral Analyst 2100 Kramer Ln #150, Austin, TX 78758 2019-07-17
1508326885 Jonathan James Runnels Anesthesiologist Assistant 12221n Mopac, Austin, TX 78758 2019-03-22
1427527324 Nayely Gutierrez Dietitian, Registered 8606 Delaware Ct, Austin, TX 78758 2018-11-20
1720569635 Shari Wright Licensed Vocational Nurse 12349 Metric Blvs # 425, Austin, TX 78758 2018-08-28
1528545456 Alexis N Bongiorno Registered Nurse 11901 Hobby Horse Court, 1516, Austin, TX 78758 2018-07-24
1679072573 Lori Scott Counselor 1600 Payton Gin Road, Austin, TX 78758 2018-02-06
1003322488 Lisa Robyn Lee Behavior Technician 2018 W Rundberg Ln, #13d, Austin, TX 78758 2017-12-20
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962864488 Mark Correa Dermatology 4419 Frontier Trl Ste 110, Austin, TX 78745-1567 2016-03-23
1699166991 Elizabeth L Foley Dermatology 505 W Louis Henna Blvd Ste 200, Austin, TX 78728-1703 2015-02-09
1225461924 Nicholas R Snavely Md Dermatology 10815 Rr 2222 Bldg 3a Ste 200, Austin, TX 78730-1159 2013-08-16
1730521113 James William Green Dermatology 9108 Zyle Rd, Austin, TX 78737 2013-07-25
1568808459 On Site Dermatology of Texas Pllc Dermatology 6500 River Place Blvd, Suite 250, Building 7, Austin, TX 78730-1119 2013-05-17
1699044800 Balcones Dermatology Associates, P.a. Dermatology 8240 N. Mo Pac Expwy, Ste 350, Austin, TX 78759 2011-12-16
1689957169 Sanova Dermatology Pllc Dermatology 12319 N Mopac Expy Ste 100, Austin, TX 78758-2486 2011-09-21
1740573997 Olubusayo Obayan Dermatology 3303 Northland Dr Ste 308, Austin, TX 78731 2011-05-20
1306166152 Elizabeth Rebecca Geddes-bruce Dermatology 3637 Far West Blvd Ste E, Austin, TX 78731-4126 2010-06-03
1033437835 Stanley Tyler Hollmig Dermatology 1601 Trinity St Ste 704b, Austin, TX 78712 2010-05-04
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Competitor

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City AUSTIN
Zip Code 78758

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Dataset Information

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.

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