Scott R. Boren, MD, Inc.

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

5562 Issued in HI

Legal business name

SCOTT R. BOREN, MD, INC.

Doing business as

Island Radiology

Practice address

140 Hoohana St Ste 209
Kahului, HI 96732-2467

Phone

(808) 877-7901

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott Roland Boren, MDNPI 1295755247

Title

President

Phone

(808) 871-7228

Specialties & licenses 1

Addresses

Other names 1

• Island Radiology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott R. Boren, MD

  • Diagnostic Radiology Physician
  • Kahului, HI
  • NPI 1295755247
  NPD (past) Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1245429844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HOOHANA ST STE 209",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322467",
            "telephone_number": "808-877-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HOOHANA ST STE 209",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322467",
            "telephone_number": "808-877-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R. BOREN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-871-7228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "HI",
            "license": "5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Larry Schlesinger, M.D.,F.A.C.S.
• Abigail Schneider, RBT
• Rosalie Jean Schreiber, APRN
• Franz Schuller, DDS
• Abigail Schwartz
• Courtney Scott
• Rachel Scott, RBT
• Seabright Optometry
• Marvin Douglas Sebourn
• Shelley Seideman, RPH

• Mammography Clinic/Center in Kahului, HI
• Providers in Kahului, HI by specialty
• Mammography Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.