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SHERYL J BOON MD NPI 1174613244


NPI Information

NPI: 1174613244
Provider Name: SHERYL J BOON, MD
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

PECOS Registration: Yes

Address:
311 S L ST
TACOMA, WA
ZIP 98405
Phone: (253) 403-1420
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Sheryl J Boon, MD is a pediatric rheumatology pediatrics in Tacoma, WA. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Sheryl J Boon, MD NPI is 1174613244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

311 S L ST
TACOMA, WA
ZIP 98405-720
Phone: (253) 403-1420

The NPI 1174613244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 5/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0216XPediatricsPediatric RheumatologyA61747CALIFORNIANo
22080P0216XPediatricsPediatric RheumatologyMD2014-0891NEW MEXICONo
32080P0216XPediatricsPediatric RheumatologyMD60628779WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A617470MEDICAIDCALIFORNIA
2H78374MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.