P.BOONSWANG MD (NPI# 1629196043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629196043 |
| Entity Type | Organization |
| Organization Name | P.BOONSWANG MD |
| Practice Address |
2358 Gruver Ave Easton PA 18045-2808 |
| Practice Telephone | 6102522229 |
| Practice Fax Number | 6102528468 |
| Mailing Telephone | 6102522229 |
| Mailing Fax Number | 6102528468 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | DR. PRICHA BOONSWANG (OWNER) |
| Authorized Official Telephone | 6102522229 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4961200 | 05 | |
| PA | 0006479210002 | 05 |
| Street Address |
2358 GRUVER AVE |
| City | EASTON |
| State | PA |
| Zip Code | 18045-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992782254 | Pricha Boonswang | Colon & Rectal Surgery | 2358 Gruver Ave, Easton, PA 18045-2808 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685492 | Shilpa Salpekar | Internal Medicine | St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 | 2020-06-26 |
| 1194340224 | Alex Grieco | Internal Medicine | 1700 St. Luke's Blvd., Anderson Medical Education Office, Easton, PA 18045 | 2020-06-15 |
| 1609403112 | Jesse Anderson | Social Worker | 1303c Nicholas St, Easton, PA 18045 | 2020-03-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1679131866 | Kamaldeep Sethi | Family Medicine | 1700 St. Luke's Blvd, Medical Education Office, Easton, PA 18045 | 2019-06-03 |
| 1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
| 1760854392 | Dental Professionals of Pennsylvania, PC | Dentist | 4727 Freemansburg Ave, Suite 104, Easton, PA 18045 | 2015-10-22 |
| 1114318870 | Shanthi Narla | Student in an Organized Health Care Education/Training Program | St. Luke's Hospital-anderson Campus, Dermatology, Easton, PA 18045 | 2015-02-16 |
| 1891108718 | Danielle Johnson | Obstetrics & Gynecology | 2200 St. Luke's Blvd, Suite 200, Easton, PA 18045 | 2014-06-09 |
| 1023451085 | Matthew S Yoder | Anesthesiology | 3500 Corriere Rd Apt 100, Easton, PA 18045 | 2013-04-09 |
| Find all providers in zip 18045 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114463767 | Vanessa Alfred | Specialist | 1704 Pheasant Ct, Easton, PA 18040-8429 | 2017-01-06 |
| 1962683797 | Divilio & Dinapoli Pa | Specialist | 404 Marvel Ct., Easton, MD 21601-4052 | 2007-11-20 |
| 1093862641 | Eastern Shore Gynecology, P.a | Specialist | 598 Cynwood Dr # 105, Easton, MD 21601-3805 | 2007-01-05 |
| 1003900762 | Atul K. Amin, Md PC | Specialist | 3729 Nazareth Road, Suite 201, Easton, PA 18045 | 2006-10-03 |
| 1598779589 | Chesapeake Cardiology Clinic, P.a. | Specialist | 522 Idlewild Ave, Easton, MD 21601-3824 | 2006-07-28 |
| 1194749564 | Renu Toshniwal | Specialist | 315 S 21st St, Easton, PA 18042-3807 | 2006-07-27 |
| 1376564435 | Mario A Candal | Specialist | 301 S 22nd St, Easton, PA 18042-3811 | 2006-07-22 |
| 1598784118 | Michael A Del Torto | Specialist | 403 Marvel Ct, Easton, MD 21601-4053 | 2006-07-18 |
| 1740217769 | Julie Sotomayor | Specialist | 163 Fuller Rd, Easton, ME 04740-4115 | 2006-06-26 |
| 1477595023 | Easton Radiology Associates, P.C. | Specialist | 2100 Ferry Street, Easton, PA 18042-3815 | 2006-06-11 |
| Find all providers in EASTON | ||||
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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.