Lawrence Vincent Boveri, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R7P94 Issued in MO

Practice address

1011 Bowles Ave
Suite 215
Fenton, MO 63026-2395

Phone

(636) 680-1960

Fax

(636) 680-1964

NPI assigned

Jul 12, 2006

Last updated

Nov 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Lawrence Vincent Boveri Professional name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Missouri, Kansas City, School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County Obstetrics and Gynecology, IncGroup PAC ID 2769536929, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081
• Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
• Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County Obstetrics & Gynecology, Inc

  • Obstetrics & Gynecology Physician
  • Fenton, MO
  • NPI 1760668941
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital South

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1568481984
  Care Compare affiliation
• Missouri Baptist Medical Center

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1487663506
  Care Compare affiliation
• SSM Health Care St. Louis

  dba SSM Health St. Clare Hospital - Fenton

  • General Acute Care Hospital
  • Fenton, MO
  • NPI 1851496152
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1003841388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE.",
            "address_2": "SUITE 215",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630283287",
            "telephone_number": "636-680-1960",
            "fax_number": "636-680-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE",
            "address_2": "SUITE 215",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262395",
            "telephone_number": "636-680-1960",
            "fax_number": "636-680-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVERI",
        "first_name": "LAWRENCE",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R7P94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207951500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "BOVERI",
            "middle_name": "VINCENT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bon Vivant Adult Day Club L.L.C.
• Susan Elizabeth Bonk, MS, CCC-SLP
• Nicole M Book, MS, LPC
• Melanie Marie Boon, APN
• Aaron Bornstein, D.O.
• Stephen Angelo Boveri, MD
• Michelle E Braun, RN BSN
• Amanda Nicole Breedlove, PNP
• Brian K Kindel OD PC
• Jacob Daniel Briegleb, DC

• Obstetrics & Gynecology Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.