BOSS URGENT CARE, PLLC (NPI# 1497080220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497080220 |
| Entity Type | Organization |
| Organization Name | BOSS URGENT CARE, PLLC |
| Practice Address |
325 Western Blvd Jacksonville NC 28546-6341 |
| Mailing Address |
Po Box 579 Fuquay Varina NC 27526-0579 |
| Practice Telephone | 9105771555 |
| Mailing Telephone | 9195673139 |
| Mailing Fax Number | 9195860933 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |
| Authorized Official Name | DR. HOWARD R BROWN (PRESIDENT) |
| Authorized Official Telephone | 9195673139 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689901621 | Boss Urgent Care, Pllc | Clinic/Center | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2009-11-12 |
| 1124354808 | Boss Urgent Care, Pllc | Clinic/Center | 800 W Williams St, Suite 132, Apex, NC 27502-5203 | 2009-10-30 |
| Street Address |
325 WESTERN BLVD |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740320076 | Onslow Doctors Care Incorporated | Exclusive Provider Organization | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2007-02-07 |
| 1487164208 | Med First Immediate Care & Family Practice, Pa | Clinic/Center | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2017-10-06 |
| 1790228575 | Jillian Ranker | Physician Assistant | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2016-11-28 |
| 1295012565 | Med First Immediate Care & Family Practice, Pa | Clinic/Center | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2011-11-14 |
| 1689901621 | Boss Urgent Care, Pllc | Clinic/Center | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2009-11-12 |
| 1437388279 | Onslow Urgent Care | Clinic/Center | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2009-07-14 |
| 1801010293 | Larry Barnes | Emergency Medical Technician, Basic | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2007-04-13 |
| 1831219674 | Charles Conrad Redeker Jr. | Emergency Medical Technician, Basic | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295744639 | Mark A Smith Md,p.a. | Emergency Medicine | 10095 Beach Blvd Ste 300, Jacksonville, FL 32246-4775 | 2006-08-05 |
| 1356329056 | Anthony Edward Hamaty | Emergency Medicine | 14444 Beach Blvd, Suite 305b, Jacksonville, FL 32250-2079 | 2006-01-04 |
| 1184920928 | Christian Glardon | Emergency Medicine | 4311 Salisbury Rd, Jacksonville, FL 32216-6123 | 2011-01-26 |
| 1912132010 | Ian Russell Rowe | Emergency Medicine | 655 W. Eighth St., Clinical Center, 1st Floor, Jacksonville, FL 32209 | 2009-05-19 |
| 1265693279 | University of Florida Jacksonville Physicians Inc | Emergency Medicine | 655 W 8th St, Ufjp Emergency Medicine, Jacksonville, FL 32209-6511 | 2008-06-23 |
| 1831147354 | Jeffrey H Sapolsky | Emergency Medicine | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2006-05-05 |
| 1144278011 | Bradley Berger | Emergency Medicine | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2006-05-04 |
| 1003874363 | Max T Billingsley | Emergency Medicine | 1 Shircliff Way, Emergency Department, Jacksonville, FL 32204-4748 | 2006-05-03 |
| 1013975507 | W Lynn Augenstein | Emergency Medicine | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2006-05-03 |
| 1992776611 | Edward Nicholas Cohill | Emergency Medicine | 820 Prudential Dr, Suite 713, Jacksonville, FL 32207-8210 | 2006-01-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on BOSS URGENT CARE, PLLC.
| 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.