Mark S. Boland D.O., F.a.C.O.S.,P.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

OS-005543-L Issued in PA

Legal business name

MARK S. BOLAND D.O., F.A.C.O.S.,P.C.

Practice address

840 Sir Thomas Court
Harrisburg, PA 17109-4839

Phone

(717) 541-8898

Fax

(717) 541-0641

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark S Boland

Title

Plastic and Reconstructive Surgeon

Phone

(717) 541-8898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1164517702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SIR THOMAS COURT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-541-8898",
            "fax_number": "717-541-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SIR THOMAS COURT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-541-8898",
            "fax_number": "717-541-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. BOLAND D.O., F.A.C.O.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PLASTIC AND RECONSTRUCTIVE SURGEON",
        "authorized_official_telephone_number": "717-541-8898",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "OS-005543-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP NUMBER",
            "identifier": "1793471",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Francis Marfizo, D.M.D.
• Maria T. Myers, LCSW, LLC
• Nina Louise Marino
• Tara Marjan
• Mark a Lippi DC PC
• Sumita Markana
• Hunter Markle, D.O.
• Anne Elizabeth Marks, LSW
• Douglas Richard Marks, DMD
• Samantha Armour Marks, PHARMD

• Plastic and Reconstructive Surgery Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Plastic and Reconstructive Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.