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ELISA BOMA GARCIA NPI 1700831781


NPI Information

NPI: 1700831781
Provider Name: ELISA BOMA GARCIA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
1237 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 769-6875
Get Directions

Elisa Boma Garcia is a neurology psychiatry neurology in Elizabethtown, KY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Elisa Boma Garcia NPI is 1700831781. 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:

1237 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701-709
Phone: (270) 769-6875
Fax: (270) 737-9696

The NPI 1700831781 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 6/30/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist20007KENTUCKYNo
22084N0400XPsychiatry & NeurologyNeurology20007KENTUCKYYes

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
11050021OTHERKENTUCKYPASSPORT
20308701MEDICARE PINKENTUCKY
3130012244OTHERKENTUCKYRAILROAD MEDICARE
4000000050918OTHERANTHEM BCBS
52432753000OTHERKENTUCKYPASSPORT ADVANTAGE
6C65427MEDICARE UPIN
764200014MEDICAIDKENTUCKY

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.