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STEVEN SCOTT BONIOL M.D. NPI 1588609549


NPI Information

NPI: 1588609549
Provider Name: STEVEN SCOTT BONIOL, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
1453 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA
ZIP 71105
Phone: (318) 681-4138
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Steven Scott Boniol, M.D. is a hematology and oncology internal medicine in Shreveport, LA with 23 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Steven Scott Boniol, M.D. NPI is 1588609549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2001

The provider's business location address is:

1453 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA
ZIP 71105-800
Phone: (318) 681-4138
Fax: (318) 681-4867

The NPI 1588609549 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 6/16/2006 and was last updated on 9/2/2016.


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
1207R00000XInternal Medicine200437LOUISIANANo
2207RH0003XInternal MedicineHematology & Oncology200437LOUISIANAYes

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
14K079BC11MEDICARE PINLOUISIANA
21092631MEDICAIDLOUISIANA
34K079CQ62MEDICARE PINLOUISIANA
44K079MEDICARE PINLOUISIANA
5194240102MEDICAIDTEXAS
61161608MEDICAIDLOUISIANA
74K079CT26MEDICARE PINLOUISIANA

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.