Boman Surgical Specialists,PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

60137 Issued in MA

Legal business name

BOMAN SURGICAL SPECIALISTS,PC

Practice address

300 Hanover St
Suite 1a
Fall River, MA 02720-5444

Phone

(508) 679-7369

Fax

(508) 679-7750

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lars Boman, M.D.

Title

President-Owner

Phone

(508) 679-7369

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467575951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "address_2": "SUITE 1A",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-679-7369",
            "fax_number": "508-679-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "address_2": "SUITE 1A",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-679-7369",
            "fax_number": "508-679-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMAN SURGICAL SPECIALISTS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOMAN",
        "authorized_official_first_name": "LARS",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "508-679-7369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "60137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BS44124",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "D165",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M18033",
            "identifier": "BC BS OF MA",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J. Boisvert
• Hiroko Kameda Bojarski, ANP
• David Boland, MD
• Cheryl Ann Boleski, MSW LCSW
• Norman L Bolski, RPH
• Deborah Ann Boman, RN/CNM
• Laura Tavares Bomback, D.C.
• Kerri Beth Bombardier, RN
• Ryann Bonilla, LCSW
• Danai Boone

• Specialist in Fall River, MA
• Providers in Fall River, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.