Active NPI
Richard B Boone, DO
- Family Medicine Physician
- Vienna, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1835
- Practice address
- 800 Grand Central Mall Ste 11
Vienna, WV 26105-4100 - Phone
- (304) 916-1270
- Fax
- (304) 916-1705
- NPI assigned
- Feb 2, 2006
- Last updated
- Dec 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1835 | WV | Primary |
Addresses
Primary practice location
800 Grand Central Mall Ste 11
Vienna, WV 26105-4100
Mailing address
800 Grand Central Mall Ste 11
Vienna, WV 26105-4100
Phone (304) 916-1270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1807389000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1330 Hwy 231 S
Troy, AL 36081-3058
Phone (334) 670-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1835 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Regional Physicians Inc | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| Troy Hospital Health Care Authority | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Midtowne Family Practice PLLC | Family Medicine | Past | Accepting new patients |
| Dwic of Tampa Bay, Inc | Past | Accepting new patients | |
| Troy Hospital Health Care Authority | Past | Accepting new patients |
Locations
1320 Highway 231 S
Ste 1
Troy, AL 36081
Phone (334) 566-0546
1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000
7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200
12375 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 936-2013
8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150
1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020
2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637
Networks
- MS PPO
- MS PPO C-SNP
- MS PPO D-SNP
- FL PPO
Interoperability endpoints
- richard.boone.2@3503.direct.athenahealth.com
Organizations & group practices 10
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.
-
dba Troy Hospital Regional Physicians
- Family Medicine Physician
- Troy, AL
- NPI 1275840779
-
dba MedExpress Urgent Care - Clearwater
- Urgent Care Clinic/Center
- Clearwater, FL
- NPI 1780633834
-
dba MedExpress Urgent Care - Boynton Beach
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1366544728
-
dba Surgeons At Troy Regional Physicians Inc.
- Specialist
- Troy, AL
- NPI 1003124421
-
dba MedExpress Urgent Care - Northside
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1023067220
-
dba MedExpress Urgent Care - West Tampa
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1679522163
-
dba MedExpress Urgent Care - Boca Raton
- Urgent Care Clinic/Center
- Boca Raton, FL
- NPI 1245506807
-
- Family Medicine Physician
- Princeton, WV
- NPI 1154436004
-
dba MedExpress Urgent Care - Hudson, State Road 52
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
-
dba Troy Regional Medical Center - CRNA
- Certified Registered Nurse Anesthetist
- Troy, AL
- NPI 1962733691
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Troy, AL
- NPI 1366904161
-
dba Troy Regional Medical Center Home Health
- Home Health Agency
- Troy, AL
- NPI 1700287497
-
dba Troy Regional Medical Center
- Rural Acute Care Hospital
- Troy, AL
- NPI 1770814626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1023080215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GRAND CENTRAL MALL STE 11",
"city": "VIENNA",
"state": "WV",
"postal_code": "261054100",
"telephone_number": "304-916-1270",
"fax_number": "304-916-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GRAND CENTRAL MALL STE 11",
"city": "VIENNA",
"state": "WV",
"postal_code": "261054100",
"telephone_number": "304-916-1270",
"fax_number": "304-916-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "RICHARD",
"middle_name": "B",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "1835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1807389000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.