MEDICAL ASSOCIATES OF BOSWELL (NPI# 1609829670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609829670 |
Entity Type | Organization |
Organization Name | MEDICAL ASSOCIATES OF BOSWELL |
Practice Address |
136 S Pine Ave Stoystown PA 15563-6002 |
Mailing Address |
430 Stonycreek St Boswell PA 15531-1024 |
Practice Telephone | 8148935568 |
Practice Fax Number | 8148935989 |
Mailing Telephone | 8148935568 |
Mailing Fax Number | 8148935989 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2008-05-14 |
Authorized Official Name | WILLILAM O. THOMPSON (PRESIDENT) |
Authorized Official Telephone | 8148935568 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | MEDICAL ASSOCIATES OF BOSWELL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | MD041994E | PA | Allopathic & Osteopathic Physicians |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MD041994E | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | HIGHMARK | 000069206 | 01 |
PA | HIGHMARK | 000322665 | 01 |
PA | 1007698380002 | 05 | |
PA | 1007698380001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871628651 | Medical Associates of Boswell | Family Medicine | 136 S Pine Ave, Stoystown, PA 15563-6002 | 2007-02-22 |
Street Address |
136 S PINE AVE |
City | STOYSTOWN |
State | PA |
Zip Code | 15563-6002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417909391 | Linda Maranowski Phillips | Physician Assistant | 136 S Pine Ave, Box 340, Stoystown, PA 15563-6002 | 2006-05-17 |
1871628651 | Medical Associates of Boswell | Family Medicine | 136 S Pine Ave, Stoystown, PA 15563-6002 | 2007-02-22 |
1548215890 | Suzanne H. Blasko | Family Medicine | 136 S Pine Ave, Stoystown, PA 15563-6002 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053839530 | Stefanie Ann Miller | Social Worker | 477 Horner Church Rd, Stoystown, PA 15563 | 2017-09-05 |
1730442880 | Ashleigh Jill Stoltz | Physician Assistant | 136 South Pine Avenue, Stoystown, PA 15563 | 2012-06-22 |
1669427878 | William O. Thompson | Family Medicine | 136 Pinestreet, Box 340, Stoystown, PA 15563 | 2006-05-24 |
1083666465 | Amanda Lynn Toath | Physician Assistant | 136 Pine Street, Box 340, Stoystown, PA 15563 | 2006-05-16 |
1669864963 | Timothy Spory | Marriage & Family Therapist | 133 R Upper Rd, Stoystown, PA 15563-8188 | 2015-02-23 |
1528115151 | Terry L. Coslic | Chiropractor | 307 Buckstown Rd, Stoystown, PA 15563-8253 | 2007-01-04 |
1063864668 | Kayla Koba | Occupational Therapist | 227 Green Briar Rd, Stoystown, PA 15563-8363 | 2016-07-07 |
1467992339 | Darla Blough | Contractor | 127 Folly Ln, Stoystown, PA 15563-8562 | 2017-02-27 |
1720335086 | Stephanie Ann Scarpino | Homemaker | 6164 Lincoln Hwy Apt 2, Stoystown, PA 15563-8638 | 2012-08-06 |
1760748669 | Timothy L Bowman | Nurse Practitioner | 4252 Ridge Rd, Stoystown, PA 15563-8723 | 2012-04-04 |
Find all providers in zip 15563 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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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.