Active NPI
David J Boes, DO
- Obstetrics & Gynecology Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101007502
- Practice address
- 2727 S Pennsylvania Ave
Lansing, MI 48910-3488 - Phone
- (517) 975-3750
- Fax
- (517) 975-3755
- NPI assigned
- Jan 13, 2006
- Last updated
- Jun 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101007502 | MI | Primary |
Addresses
Primary practice location
2727 S Pennsylvania Ave
Lansing, MI 48910-3488
Mailing address
804 Service Rd
# A201
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255310694 | Medicaid | MI | |
| HEALTH ADVANTAGE | Other | MI | 252502 |
| 252502 | Other | MI | MCLAREN HEALTH PLAN |
| 4308424 | Medicaid | MI | |
| 160C311260 | Other | MI | BLUE CHOICE |
| 160C311260 | Other | MI | BLUE CARE NETWORK |
| 0700185 | Other | MI | PHYSICIANS HEALTH PLAN |
| 160C311260 | Other | MI | COMMUNITY BLUE |
| F04444 | Other | MI | HEALTH NET FEDERAL SERVIC |
| 160C311260 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4053266 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Full Spectrum Family Medicine PC | Current | Accepting new patients | |
| Obhg Michigan, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Metropolitan Hospital | Current | Accepting new patients | |
| McLaren Greater Lansing | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100
Interoperability endpoints
- dboes54005@direct.metrohealth.net
Organizations & group practices 5
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.
-
dba Metro Health Hospital
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Obstetrics & Gynecology Physician
- Jackson, MI
- NPI 1790120863
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1124111026
-
dba Metro Health Community Clinic
- Family Medicine Physician
- Wyoming, MI
- NPI 1114947538
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Lansing, MI
- NPI 1174660013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1255310694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD",
"address_2": "# A201",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 S PENNSYLVANIA AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489103488",
"telephone_number": "517-975-3750",
"fax_number": "517-975-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOES",
"first_name": "DAVID",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101007502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255310694",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "252502",
"identifier": "HEALTH ADVANTAGE",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "252502",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4308424",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "160C311260",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "160C311260",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "0700185",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "160C311260",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET FEDERAL SERVIC",
"identifier": "F04444",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "160C311260",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4053266",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.