DR. TIMOTHY BOLEY M.D. NPI 1871569210

NPI Information

NPI: 1871569210
Provider Name: DR. TIMOTHY BOLEY, M.D.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
100 S 2ND ST STE 4B
HARRISBURG, PA
ZIP 17101
Phone: (717) 231-8472
Get Directions

DR. Timothy Boley, M.D. is a neonatal-perinatal medicine pediatrics in Harrisburg, PA with 40 years of experience. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Timothy Boley, M.D. NPI is 1871569210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

100 S 2ND ST STE 4B
HARRISBURG, PA
ZIP 17101-546
Phone: (717) 231-8472
Fax: (717) 231-8490

The NPI 1871569210 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 2/26/2006 and was last updated on 1/18/2021.

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	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	MD426303	PENNSYLVANIA	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	MD426303	PENNSYLVANIA	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	2407344000	OTHER	PENNSYLVANIA	INDEPENDENCE BLUE CROSS
2	000000169311	OTHER	PENNSYLVANIA	GATEWAY
3	101301146	MEDICAID	PENNSYLVANIA
4	1086483	OTHER	PENNSYLVANIA	AETNA-HMO
5	001740376	OTHER	PENNSYLVANIA	HIGHMARK

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

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