NPIMap

Individual provider Active NPI

Verona Marie Boller, MD

  • Family Medicine Physician
  • Farmington, PA
National Provider Identifier
1366734469
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD452351 Issued in PA
Practice address
101 New Meadow Run Dr
Route 40 East
Farmington, PA 15437-1391
Phone
(724) 329-8689
Fax
(724) 329-1230
NPI assigned
May 7, 2011
Last updated
Jun 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD452351 PA Primary

Addresses

Primary practice location

101 New Meadow Run Dr
Route 40 East
Farmington, PA 15437-1391

Mailing address

101 New Meadow Run Dr
PO Box 10 Route 40 East
Farmington, PA 15437-1391
Phone (724) 329-8689

Other names 1

  • Verona Marie Bazeley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909002028 PA Practitioner - Family Practice 5395964183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Valley Medical and Dental PCGroup PAC ID 2466426259, 3 clinicians

Practice addresses (Care Compare)

103 New Meadow Run Dr
Farmington, PA 15437-1391
Phone (724) 329-8689

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD452351PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Valley Medical & Dental, PC CurrentSince Jan 21, 2022 Accepting new patients
Oak Valley Medical & Dental, PC Family Medicine CurrentSince Jul 5, 2014 Accepting new patients

Locations

103 New Meadow Run Dr
Farmington, PA 15437
Phone (724) 329-8689

Interoperability endpoints

  • Direct secure messaging: verona.boller@903590088015876.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1304726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1366734469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NEW MEADOW RUN DR",
            "address_2": "PO BOX 10 ROUTE 40 EAST",
            "city": "FARMINGTON",
            "state": "PA",
            "postal_code": "154371391",
            "telephone_number": "724-329-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NEW MEADOW RUN DR",
            "address_2": "ROUTE 40 EAST",
            "city": "FARMINGTON",
            "state": "PA",
            "postal_code": "154371391",
            "telephone_number": "724-329-8689",
            "fax_number": "724-329-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLER",
        "first_name": "VERONA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-07",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD452351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONA",
            "last_name": "BAZELEY",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, PA

Sources for this page

Verify at the official NPI Registry.