Thomas Richard Boubel, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

M9287 Issued in ID

Practice address

415 6TH St
Lewiston, ID 83501-2431

Phone

(208) 743-2511

NPI assigned

Mar 21, 2007

Last updated

May 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Interventional Pain Consultants PA

  • Interventional Pain Medicine Physician
  • Lewiston, ID
  • NPI 1356353239
  NPD (past)
• Physician Anesthesia Group PS

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1023063278
  NPD (past)
• Physicians Anesthesia Group, PS

  • Certified Registered Nurse Anesthetist
  • Spokane, WA
  • NPI 1275704181
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1508982646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-743-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-743-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUBEL",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ID",
            "license": "M9287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003615400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Bohnenkamp, LCSW
• Herbert Bohner, RPH
• Barbara Boland, LMP
• Olisa Bomley, LMSW
• Ronna Kay Bond, RPH
• Stacey Kristen Boudreaux, PHARMD
• Andrea Bowen
• Christina M Bowman, APRN, PMHNP-BC
• Dana Marie Boyd
• Steven Randolph Boyea, MD

• Anesthesiology Physician in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Anesthesiology Physician in Idaho

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