Individual provider Active NPI

Anthony Wynshaw-Boris, M.D., PH.D.

  • Clinical Molecular Genetics Physician
  • Cleveland, OH
National Provider Identifier
1447372552
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X
License
C50634 Issued in OH
Practice address
10900 Euclid Ave
Brb731
Cleveland, OH 44106-1712
Phone
(216) 368-0581
Fax
(216) 368-3832
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Molecular Genetics Physician 207SG0203X C50634 OH Primary

Addresses

Primary practice location

10900 Euclid Ave
Brb731
Cleveland, OH 44106-1712

Mailing address

10900 Euclid Ave
Brb731
Cleveland, OH 44106-1712
Phone (216) 368-0581

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthonywynshaw-boris@uhps.allscriptsdirect.net Direct

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C50634OHMDClinical Molecular Genetics Physician

Interoperability endpoints

  • Direct secure messaging: awynshawboris35971@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1447372552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 EUCLID AVE",
            "address_2": "BRB731",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061712",
            "telephone_number": "216-368-0581",
            "fax_number": "216-368-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 EUCLID AVE",
            "address_2": "BRB731",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061712",
            "telephone_number": "216-368-0581",
            "fax_number": "216-368-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNSHAW-BORIS",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "OH",
            "license": "C50634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthonywynshaw-boris@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10900 Euclid Ave",
            "address_2": "BRB731",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.