Thomas V Boran, MD

Key facts

NPI

1497748685

Entity type

Individual (NPI type 1)

Primary specialty

Otolaryngology Physician 207Y00000X

License

MD030208E (PA)

Practice address

100 Schuylkill Medical PLZ
Suite 205
Pottsville, PA 17901-3663

Phone

(570) 621-5010

Fax

(570) 628-2525

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2016.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1497748685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SCHUYLKILL MEDICAL PLZ",
            "address_2": "SUITE 205",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013663",
            "telephone_number": "570-621-5010",
            "fax_number": "570-628-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SCHUYLKILL MEDICAL PLZ",
            "address_2": "SUITE 205",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013663",
            "telephone_number": "570-621-5010",
            "fax_number": "570-628-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAN",
        "first_name": "THOMAS",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD030208E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

• Matthew Joseph Bond, D.O.
• Karen Kay Bondura, RN
• Kathryn A Bondura, LCSW
• Boran & Puzzi Ear, Nose & Throat Associates, PC
• Robert P Boran, M.D.
• Dale R. Bortz Jr., DO
• Boscovs Department Store LLC
• Katie M Bowman, M.S., CCC-SLP
• Laura Kate Boyer, PH.D.
• Samantha Rae Bracey, LCSW

All providers in Pottsville, PA · Otolaryngology Physician in Pennsylvania