Stephen P. Boghossian, M.D., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

STEPHEN P. BOGHOSSIAN, M.D., P.C.

Practice address

1200 S York Rd
Suite 4240
Elmhurst, IL 60126-5626

Phone

(630) 834-7590

Fax

(630) 516-9123

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen P. Boghossian, M.D.NPI 1245210111

Title

President

Phone

(630) 834-7590

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen P. Boghossian, M.D.

  • Surgery Physician
  • Elmhurst, IL
  • NPI 1245210111
  Medicare reassignment NPD Authorized official
• Stephen John Mendak, MD

  • Surgery Physician
  • Elmhurst, IL
  • NPI 1154419257
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1083882674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6851",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601816851",
            "telephone_number": "630-834-7590",
            "fax_number": "630-516-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 4240",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-834-7590",
            "fax_number": "630-516-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P. BOGHOSSIAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "BOGHOSSIAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-834-7590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02226004",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "17-11003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert V Starvel II, DDS
• Rebecca Stasiek
• Sara Stasior, APRN
• George Stathopoulos, MD
• Richard Alan Steffens, DDS
• Hudson David Stern, M.D.
• Amy N Stevens, RDN, LRD
• Maria Stewart, PSYD
• Olivia Stich, BCBA
• Stillwater Cove Therapy PLLC

• Surgery Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.