Active NPI
George Harold Boggess, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
National Provider Identifier
1487666293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN00108624
- Practice address
- Madigan Army Medical Ctr
BLDG 9040 Fitzsimmons Dr
Tacoma, WA 98431-0001 - Phone
- (253) 968-1975
- Fax
- (253) 968-3738
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN00108624 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
BLDG 9040 Fitzsimmons Dr
Tacoma, WA 98431-0001
Mailing address
15109 42ND Ave NW
Gig Harbor, WA 98332-9081
Phone (253) 857-6065
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00108624 | WA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487666293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15109 42ND AVE NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983329081",
"telephone_number": "253-857-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "BLDG 9040 FITZSIMMONS DR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-1975",
"fax_number": "253-968-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGESS",
"first_name": "GEORGE",
"middle_name": "HAROLD",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "RN00108624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.