Boas Surgical, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

6000006243 Issued in PA

Legal business name

BOAS SURGICAL, INC.

Practice address

40 Berkshire CT Ste 2
Wyomissing, PA 19610-1224

Phone

(610) 378-4833

Fax

(610) 378-4893

NPI assigned

May 16, 2006

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist III

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1073565230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BERKSHIRE CT STE 2",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101224",
            "telephone_number": "610-378-4833",
            "fax_number": "610-378-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOAS SURGICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-01-04",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000006243",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000006243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009363070002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Blecker, M.D.
• Suzanne Amanda Blevins, DO
• Natalee Sky Blimline
• Kristen Bloom, PA-C
• Bmax Pennsylvania LLC (Renewed Vitality)
• Maria N Bogdanova-Peifer, MSPT
• Alicia Lauren Bohn, BCBA
• Michelle Lynn Boniscavage
• Matthew R Bonsall, AUD.
• Bontempo Orthopedics

• Prosthetic/Orthotic Supplier in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.