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DR. ERIC WILLIAM BOOSE M.D. NPI 1528061702


NPI Information

NPI: 1528061702
Provider Name: DR. ERIC WILLIAM BOOSE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6701 ROCKSIDE RD
STE 260
INDEPENDENCE, OH
ZIP 44131
Phone: (216) 369-2525
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DR. Eric William Boose, M.D. is a family medicine in Independence, OH with 25 years of experience. 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. DR. Eric William Boose, M.D. NPI is 1528061702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1999

The provider's business location address is:

6701 ROCKSIDE RD
STE 260
INDEPENDENCE, OH
ZIP 44131-351
Phone: (216) 369-2525
Fax: (216) 369-2531

The NPI 1528061702 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 5/23/2005 and was last updated on 7/17/2009.


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
1207Q00000XFamily Medicine35081506BOHIOYes

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
1T81506OTHEROHIOSUMMACARE
22332952MEDICAIDOHIO
3P00713821MEDICARE PINOHIO
4BO4083433MEDICARE PIN
5H62056MEDICARE UPINOHIO
6P00316486MEDICARE PINOHIO
7350411OTHEROHIOWELLCARE
8000000489324OTHEROHIOANTHEM
94083434MEDICARE PINOHIO

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.