Abigail Boggs, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10003429A Issued in IN

Practice address

3308 Frankfort Ave
Louisville, KY 40206-2701

Phone

(502) 709-5726

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Vitalskin Medical Group Il PLLC

  • Dermatology Physician
  • New Albany, IN
  • NPI 1477297083

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1225622673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062701",
            "telephone_number": "502-709-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 University Woods Dr Ste 8",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471502427",
            "country_code": "US",
            "telephone_number": "812-944-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Wiltshire Ave Apt 4",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402073040",
            "country_code": "US",
            "telephone_number": "502-648-1386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "ABIGAIL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003429A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan John Boeschel
• Jessica Bogacz
• Sebhan L Bogan
• Nancy Bogard-Markushewski, CRNA
• Mary B Boger
• Anna Elizabeth Boggs
• Paige Bogowitz
• Crystal Nicole Bohannon, APRN-NP
• Madeline Jo Bohling
• Matthew Hunter Bohman, DO

• Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.