William R.a. Boben Jr., M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD008018E Issued in PA

Practice address

2106 Harrisburg Pike
Suite 1
Lancaster, PA 17601-2644

Phone

(717) 291-5931

Fax

(717) 291-5818

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: wboben10960@direct-lghealth.org

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1144206160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE",
            "address_2": "SUITE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-291-5931",
            "fax_number": "717-291-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE",
            "address_2": "SUITE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-291-5931",
            "fax_number": "717-291-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBEN",
        "first_name": "WILLIAM",
        "middle_name": "R.A.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD008018E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000826270",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Skies Chiropractic Health Center, P.C.
• Jarol L Boan, M.D.
• Melissa Boas, EDD
• Noel Kay Lynne Boas, CRNA
• Roger Wayne Boatwright, M.D.
• Shannon Lynn Bocchino
• Ward Bodnar, LPN
• Daryl George Bodner, M.D.
• Gail Bodner, M.D.
• Rita M Boer, LCSW

• Pediatrics Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.