Active NPI
Thomas James Boro Jr., M.D.
- Surgery Physician
- Lewiston, ME
National Provider Identifier
1346574027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD22292
- Practice address
- 12 High St Ste 401
Lewiston, ME 04240 - Phone
- (207) 795-5767
- Fax
- (207) 795-2732
- NPI assigned
- Sep 28, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD22292 | ME | Primary |
| Surgery Physician | 208600000X | 0101247487 | VA |
Addresses
Primary practice location
12 High St Ste 401
Lewiston, ME 04240
Mailing address
12 High St Ste 401
Lewiston, ME 04240-7690
Phone (207) 795-5767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1346574027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HIGH ST STE 401",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407690",
"telephone_number": "207-795-5767",
"fax_number": "207-795-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 HIGH ST STE 401",
"city": "LEWISTON",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-795-5767",
"fax_number": "207-795-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORO",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-28",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "MD22292",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101247487",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.