Individual provider Active NPI

Joy Louise Boone, M.D.

  • Family Medicine Physician
  • McKeesport, PA
National Provider Identifier
1205835709
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD038528E Issued in PA
Practice address
2347 5TH Ave
McKeesport, PA 15132-1126
Phone
(412) 673-5504
Fax
(412) 673-2150
NPI assigned
Jul 18, 2005
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD038528E PA Primary

Addresses

Primary practice location

2347 5TH Ave
McKeesport, PA 15132-1126

Mailing address

200 Lothrop St
Suite 9055 Forbes Tower
Pittsburgh, PA 15213-2536
Phone (412) 647-3087

Other identifiers 7

IdentifierTypeStateIssuer
104152OtherPAUPMC
0010874730002MedicaidPA
1409575OtherPAUNITED MINE WORKERS
0473267OtherPAAETNA
1427335140OtherWHITERIVER
000067334OtherPAHIGHMARK
1427335181OtherCBQ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040525001088 PA Practitioner - Family Practice 3476534611 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038528EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince Apr 15, 2013 Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince May 6, 2019 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
East Liberty Family Health Care Center, Inc. Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Apr 15, 2013 Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince May 6, 2019 Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

3520 Route 130
Irwin, PA 15642
Phone (724) 744-1408

2347 5th Ave
McKeesport, PA 15132
Phone (412) 673-5009

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

6023 Harvard St
Pittsburgh, PA 15206
Phone (412) 661-2802

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206
Phone (412) 345-0412

Interoperability endpoints

  • Direct secure messaging: jboone@direct.excelahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1205835709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "SUITE 9055 FORBES TOWER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3087",
            "fax_number": "412-647-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 5TH AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151321126",
            "telephone_number": "412-673-5504",
            "fax_number": "412-673-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "JOY",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD038528E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "104152",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010874730002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1409575",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0473267",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WHITERIVER",
            "identifier": "1427335140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000067334",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBQ",
            "identifier": "1427335181",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.