PHILIP J. BOSHA (NPI# 1710965116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710965116 |
| Entity Type | Individual |
| Full Name | PHILIP J. BOSHA |
| Credential | M.D. |
| Practice Address |
1850 E Park Ave Suite 112 State College PA 16803-6706 |
| Mailing Address |
Po Box 858 Mc A410 Hershey PA 17033-0858 |
| Practice Telephone | 8148653566 |
| Practice Fax Number | 8148637803 |
| Mailing Telephone | 8002431455 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
L9632 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD420020 | PA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD420020 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1016695050001 | 05 | |
| TX | 173210901 | 05 | |
| PA | MEDICARE | 103542NZ3 | 01 |
| Street Address |
1850 E PARK AVE SUITE 112 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790785343 | Barbara A Majeroni | Family Medicine | 1850 E Park Ave, Suite 312, State College, PA 16803-6706 | 2005-07-26 |
| 1306464169 | Tammam Hanna | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave, Suite 112, State College, PA 16803 | 2020-07-08 |
| 1649653585 | Karthika Arulsothynathan | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave, Suite 207, State College, PA 16803-6706 | 2015-07-08 |
| 1467834309 | Andrew Timothy Catherine | Emergency Medicine | 1850 E Park Ave, State College, PA 16803 | 2015-06-27 |
| 1609268507 | Connie Ann Peachey | Social Worker | 1850 E Park Ave, Suite 302, State College, PA 16803-6706 | 2015-03-02 |
| 1487061305 | Tia Dudukovich | Physician Assistant | 1850 E Park Ave, Ste 302, State College, PA 16803-6706 | 2014-07-14 |
| 1780096289 | Allison Marie Saal | Physician Assistant | 1850 E Park Ave, Ste 201, State College, PA 16803-6706 | 2014-06-02 |
| 1841600855 | Nicole J. Young | Physician Assistant | 1850 E Park Ave, Ste 201, State College, PA 16803-6706 | 2014-04-29 |
| 1508298456 | Stephen Dallery Shurgalla | Physician Assistant | 1850 E Park Ave, Suite 312, State College, PA 16803-6706 | 2013-08-02 |
| 1962844985 | Ashley E Wagner | Registered Nurse | 1850 E Park Ave, Ste 302, State College, PA 16803-6706 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053567172 | Dov A Bader | Orthopaedic Surgery | 1850 E Park Ave, Suite 112, State College, PA 16803-6706 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376895342 | Aria Health Orthopaedics | Orthopaedic Surgery | 380 North Oxford Valley Road, Langhorne, PA 19047 | 2012-10-15 |
| 1083971030 | N Leroy Hammond IIi | Orthopaedic Surgery | 370 Righters Mill Rd, Gladwyne, PA 19035-1543 | 2012-04-16 |
| 1063718641 | Richard Arthur Rahner | Orthopaedic Surgery | 1234 Saint Ann Dr, Erie, PA 16509-2947 | 2011-01-31 |
| 1902055734 | Adrian Wayne Clayton | Orthopaedic Surgery | 601 Hawthorne Dr, Suite 100, Hollidaysburg, PA 16648-2212 | 2008-09-17 |
| 1780667154 | Norman A Johanson | Orthopaedic Surgery | 216 N Broad St, 2nd Floor, Philadelphia, PA 19102-1121 | 2005-11-21 |
| 1477544583 | John Cornelius Lyons | Orthopaedic Surgery | 2566 W 12th St, Erie, PA 16505-4508 | 2005-10-31 |
| 1861482424 | Kevin A Gingrich | Orthopaedic Surgery | 216-220 N. Broad Street, 2nd Floor Feinstein Building, Philadelphia, PA 19102-1121 | 2005-10-25 |
| 1093718017 | Christopher Joseph Lyons | Orthopaedic Surgery | 479 Thomas Jones Way, Ste 300, Exton, PA 19341-2580 | 2005-05-23 |
| 1417590910 | Spirit Physician Services, Inc. | Orthopaedic Surgery | 429 N 21st St, Camp Hill, PA 17011-2202 | 2019-10-28 |
| 1952883910 | John Stammers | Orthopaedic Surgery | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4290 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on PHILIP J. BOSHA.
| 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.