Organization Active NPI

Lawrence Boas, M.D., P.a.

  • Internal Medicine Physician
  • Cockeysville, MD
National Provider Identifier
1104858109
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0015871 Issued in MD
Legal business name
LAWRENCE BOAS, M.D., P.A.
Practice address
54 Scott Adam Rd
Suite# 202
Cockeysville, MD 21030-3216
Phone
(410) 628-6101
Fax
(410) 628-0131
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Lawrence Boas, M.D.
Title
Owner
Phone
(410) 628-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0015871 MD Primary

Addresses

Primary practice location

54 Scott Adam Rd
Suite# 202
Cockeysville, MD 21030-3216

Mailing address

54 Scott Adam Rd
Suite# 202
Cockeysville, MD 21030-3216
Phone (410) 628-6101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1104858109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "SUITE# 202",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-628-6101",
            "fax_number": "410-628-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "SUITE# 202",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-628-6101",
            "fax_number": "410-628-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE BOAS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BOAS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-628-6101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0015871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.