Emilia Boer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10739 Issued in AZ

Practice address

1760 E Pecos Rd Ste 401
Gilbert, AZ 85295-3204

Phone

(480) 558-3223

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trinity ENT and Facial Aesthetics, LLC

  • Facial Plastic Surgery Physician
  • Gilbert, AZ
  • NPI 1649400847
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1205322674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD STE 401",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953204",
            "telephone_number": "480-558-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOER",
        "first_name": "EMILIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Vitality LLC
• Body Wise Weight Loss & Aesthetics Center Inc
• Patricia Ann Boe, LPN
• Ericka Boeger, PT, DPT
• Angela M Boehm II
• Yolanta Boese, P.T.
• Jhinelle Boggie, LCSW
• Boris Boguslavskiy, NP
• Amy E Bohan, MD
• Taylor Phillip Bohne, PT, DPT, ATC, LAT

• Physician Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.