Active NPI
Jonathan Hall Boswell, PA
- Physician Assistant
- Springfield, MO
National Provider Identifier
1154439701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2005002880
- Practice address
- 440 E Tampa St
Springfield, MO 65806-1131 - Phone
- (417) 831-0150
- Fax
- (417) 831-0155
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2005002880 | MO | Primary |
Addresses
Primary practice location
440 E Tampa St
Springfield, MO 65806-1131
Mailing address
PO Box 5681
Springfield, MO 65801-5681
Phone (417) 831-0150
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
- Physician Assistant
Practice roles
Organizations & group practices 33
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Community/Retail Pharmacy
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-
- Federally Qualified Health Center (FQHC)
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- Federally Qualified Health Center (FQHC)
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- NPI 1609413947
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- Federally Qualified Health Center (FQHC)
- Buffalo, MO
- NPI 1790573665
-
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1144074907
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- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1164657318
-
- Federally Qualified Health Center (FQHC)
- Marshfield, MO
- NPI 1356519524
-
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1396273074
-
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1699445452
-
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1700539301
-
- Federally Qualified Health Center (FQHC)
- Buffalo, MO
- NPI 1750179610
-
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1093848913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1154439701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5681",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658015681",
"telephone_number": "417-831-0150",
"fax_number": "417-831-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 E TAMPA ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658061131",
"telephone_number": "417-831-0150",
"fax_number": "417-831-0155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWELL",
"first_name": "JONATHAN",
"middle_name": "HALL",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2005002880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.