Individual provider Active NPI

James Francis Boehner, MD

  • Obstetrics & Gynecology Physician
  • Aiken, SC
National Provider Identifier
1417975376
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11591 Issued in SC
Practice address
410 University Parkway
Suite 1550
Aiken, SC 29801
Phone
(803) 649-7535
Fax
(803) 648-8771
NPI assigned
Jul 18, 2006
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11591 SC Primary

Addresses

Primary practice location

410 University Parkway
Suite 1550
Aiken, SC 29801

Mailing address

410 University Parkway
Suite 1550
Aiken, SC 29801
Phone (803) 649-7535

Other identifiers 1

IdentifierTypeStateIssuer
115912MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20110307000338 SC Practitioner - Obstetrics/Gynecology 3476733577 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11591SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Obstetrics and Gynecology Associates, PA Obstetrics & Gynecology CurrentSince Mar 20, 1995 Accepting new patients

Locations

410 University Pkwy
Ste 1550
Aiken, SC 29801
Phone (803) 649-7535

900 Trail Ridge Rd
Ste 300
Aiken, SC 29803
Phone (803) 649-7535

Interoperability endpoints

  • Direct secure messaging: jboehner@aoga.gwaydirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1417975376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PARKWAY",
            "address_2": "SUITE 1550",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-649-7535",
            "fax_number": "803-648-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PARKWAY",
            "address_2": "SUITE 1550",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-649-7535",
            "fax_number": "803-648-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHNER",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "11591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115912",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.