Edmond Bouassaf, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD433540 Issued in PA

Practice address

810 Valley Vew Blvd
Altoona, PA 16602-6342

Phone

(814) 946-5469

Fax

(814) 946-4970

NPI assigned

Jul 12, 2007

Sex

Male

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

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

Specialty

Gastroenterology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Altoona Hospital, Altoona, PA, CCN 390073
• Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Regional Gastroenterology Associates of Lancaster, LTD.

  • Gastroenterology Physician
  • Lancaster, PA
  • NPI 1154422806
  Medicare reassignment Care Compare group NPD
• Blair Gastroenterology Associates

  • Gastroenterology Physician
  • Altoona, PA
  • NPI 1295761666
  Medicare reassignment NPD
• Midatlantic Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1255872784
  NPD
• Regional Gastroenterology Associates of Lancaster, LTD.

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1295819084
  NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953

  Hospital

  Care Compare affiliation
• Upmc Altoona

  • Non-Surgical Family Planning Clinic/Center
  • Altoona, PA
  • NPI 1457303885

  Hospital

  Care Compare affiliation
• Upmc Altoona

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1649278730
  Care Compare affiliation
• Upmc Altoona

  • Psychiatric Hospital Unit
  • Altoona, PA
  • NPI 1699773465
  Care Compare affiliation
• Upmc Bedford Memorial

  • General Acute Care Hospital
  • Everett, PA
  • NPI 1295724193
  Care Compare affiliation
• Upmc Bedford Memorial

  • Ambulatory Surgical Clinic/Center
  • Everett, PA
  • NPI 1942345467

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1346449071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026342",
            "telephone_number": "814-946-5469",
            "fax_number": "814-946-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 VALLEY VEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026342",
            "telephone_number": "814-946-5469",
            "fax_number": "814-946-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUASSAF",
        "first_name": "EDMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD433540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bosak
• Brooke Noelle Bosar, MT-BC
• Boscovs Department Store LLC
• Jacqueline Denise Bost, PTA
• Susan J Boston
• Matthew P Bouchard, MD
• Robert Bower, MD
• Anastasia Faith Bowersox, PA-C
• Madeline Elise Boyce, CRNP
• Susan Boyd, P.T.

• Gastroenterology Physician in Altoona, PA
• Providers in Altoona, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.