Active NPI
Ronald John Boisen, M.D., P.C.
- Gastroenterology Physician
- Anchorage, AK
National Provider Identifier
1114946076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- AA2221
- Practice address
- 3851 Piper Street
Suite U466
Anchorage, AK 99508-6905 - Phone
- (907) 569-1333
- Fax
- (907) 569-1433
- NPI assigned
- Jul 19, 2006
- Last updated
- Mar 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | AA2221 | AK | Primary |
Addresses
Primary practice location
3851 Piper Street
Suite U466
Anchorage, AK 99508-6905
Mailing address
3851 Piper Street
Suite U466
Anchorage, AK 99508-6905
Phone (907) 569-1333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD9895 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA2221 | AK | MD | Gastroenterology Physician |
| 2221 | AK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1114946076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 PIPER STREET",
"address_2": "SUITE U466",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995086905",
"telephone_number": "907-569-1333",
"fax_number": "907-569-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 PIPER STREET",
"address_2": "SUITE U466",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995086905",
"telephone_number": "907-569-1333",
"fax_number": "907-569-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOISEN",
"first_name": "RONALD",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D., P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AK",
"license": "AA2221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD9895",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.