Edgar a Boone Joy L Boone MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDGAR A BOONE JOY L BOONE MD

Practice address

401 Church St
Herminie, PA 15637-1457

Phone

(724) 446-5571

Fax

(724) 446-2151

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Edgar A Boone, MD

Title

Owner

Phone

(724) 446-5571

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1447247986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CHURCH ST",
            "city": "HERMINIE",
            "state": "PA",
            "postal_code": "156371457",
            "telephone_number": "724-446-5571",
            "fax_number": "724-446-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CHURCH ST",
            "city": "HERMINIE",
            "state": "PA",
            "postal_code": "156371457",
            "telephone_number": "724-446-5571",
            "fax_number": "724-446-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR A BOONE JOY L BOONE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-446-5571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP ID NUMBER",
            "identifier": "0473267",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC ID NUMBER",
            "identifier": "104152",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA ID NUMBER",
            "identifier": "1409575",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3332",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY ID NUMBER",
            "identifier": "1003102",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Ann Besselman, MA, LBS
• Robert Anthony Bogac, DC
• Connie Sue Crossen Bosko, DC
• Excela Health Physician Practices, Inc.
• Elaine Louise Holas, COTA/L
• Andrew C Kemerer
• Julie Kiehl, DPT, ATC
• Catherine Leece, MOT, OTR/L

• Family Medicine Physician in Herminie, PA
• Providers in Herminie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.