CHRISTOPHER LAWRENCE BOEKE PA-C NPI 1619644408

NPI Information

NPI: 1619644408
Provider Name: CHRISTOPHER LAWRENCE BOEKE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
270 E HUNT HWY STE A2
SAN TAN VALLEY, AZ
ZIP 85143
Phone: (480) 882-2222
Get Directions

Christopher Lawrence Boeke, PA-C is a medical physician assistant in San Tan Valley, AZ with 4 years of experience. Christopher Lawrence Boeke, PA-C NPI is 1619644408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

270 E HUNT HWY STE A2
SAN TAN VALLEY, AZ
ZIP 85143-962
Phone: (480) 882-2222
Fax: (480) 882-2220

The NPI 1619644408 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 8/27/2021 and was last updated on 7/17/2023.

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	332B00000X	Durable Medical Equipment & Medical Supplies		7057360001	ARIZONA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		7034950001	ARIZONA	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		8220410001	ARIZONA	No
4	363AM0700X	Physician Assistant	Medical	8019	ARIZONA	Yes
5	332B00000X	Durable Medical Equipment & Medical Supplies		7046960001	ARIZONA	No
6	332B00000X	Durable Medical Equipment & Medical Supplies		7939960001	ARIZONA	No
7	332B00000X	Durable Medical Equipment & Medical Supplies		7047150001	ARIZONA	No
8	332B00000X	Durable Medical Equipment & Medical Supplies		7629170001	ARIZONA	No
9	332B00000X	Durable Medical Equipment & Medical Supplies		7209350001	ARIZONA	No
10	332B00000X	Durable Medical Equipment & Medical Supplies		7045160001	ARIZONA	No

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

NPI Synchronization or Removal

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.

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