Individual provider Active NPI

Elizabeth W Boggs, MD

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1174784128
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
30823 Issued in SC
Practice address
9 Richland Medical Park Dr Ste 620
Columbia, SC 29203-6845
Phone
(803) 779-6776
Fax
(803) 779-7346
NPI assigned
Jun 23, 2008
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 30823 SC Primary

Addresses

Primary practice location

9 Richland Medical Park Dr Ste 620
Columbia, SC 29203-6845

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7332

Other identifiers 1

IdentifierTypeStateIssuer
308232MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eboggs377202@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028001595 IA Practitioner - Obstetrics/Gynecology 2769638840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

152 W Dale St
Waterloo, IA 50703-1925
Phone (319) 235-5060

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3886

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

5100 Prairie Pkwy
Cedar Falls, IA 50613-8155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Jan 1, 2023 Accepting new patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology CurrentSince Oct 11, 2021 Accepting new patients
Allen Memorial Hospital Corporation Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients
Trinity Medical Center Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

146 W Dale St
Ste 102
Waterloo, IA 50703
Phone (319) 235-5050

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

233 Vold Dr
Waterloo, IA 50703
Phone (319) 235-5090

Interoperability endpoints

  • Direct secure messaging: eboggs841394@direct.unitypoint.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1174784128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7332",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK DR STE 620",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036845",
            "telephone_number": "803-779-6776",
            "fax_number": "803-779-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "ELIZABETH",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "30823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308232",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eboggs377202@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "eboggs377202@direct.ghs.myhfn.org",
            "address_1": "9 Richland Medical Park Dr Ste 620",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292036845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.