EDGAR A BOONE JOY L BOONE MD NPI 1447247986

NPI Information

NPI: 1447247986
Provider Name: EDGAR A BOONE JOY L BOONE MD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
401 CHURCH ST
HERMINIE, PA
ZIP 15637
Phone: (724) 446-5571
Get Directions

EDGAR A BOONE JOY L BOONE MD is a family medicine in Herminie, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EDGAR A BOONE JOY L BOONE MD NPI is 1447247986. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

401 CHURCH ST
HERMINIE, PA
ZIP 15637-457
Phone: (724) 446-5571
Fax: (724) 446-2151

The provider's authorized official is Edgar A Boone .
The authorized official title is Owner and has the following contact phone number (724) 446-5571.

The enumeration date for this NPI number is 9/30/2005 and was last updated on 1/24/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DG3332	OTHER	PENNSYLVANIA	RAILROAD MEDICARE
2	077798	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	MEDICARE GROUP ID NUMBER
3	0473267	OTHER	PENNSYLVANIA	AETNA GROUP ID NUMBER
4	104152	OTHER	PENNSYLVANIA	UPMC ID NUMBER
5	1003102	OTHER	PENNSYLVANIA	GATEWAY ID NUMBER
6	1409575	OTHER	PENNSYLVANIA	UMWA ID NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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