Individual provider Active NPI

Richard C Boorse, M.D.

  • Surgery Physician
  • Allentown, PA
National Provider Identifier
1568462786
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD039198-E Issued in PA
Practice address
1240 S Cedar Crest Blvd
Suite 208
Allentown, PA 18103-6218
Phone
(610) 439-4055
Fax
(610) 439-8650
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD039198-E PA Primary

Addresses

Primary practice location

1240 S Cedar Crest Blvd
Suite 208
Allentown, PA 18103-6218

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000788 PA Practitioner - General Surgery 0345258133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1240 S Cedar Crest Blvd
208 LVPG General and Bariatric Surgery
Allentown, PA 18103-6218
Phone (610) 402-9780

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)20
Upper gastrointestinal (GI) endoscopy for acid reflux24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2012 Accepting new patients
Lehigh Valley Physician Group Surgery Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2012 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1210 S Cedar Crest Blvd
Ste 3300
Allentown, PA 18103
Phone (610) 402-8506

1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103
Phone (610) 402-1175

1240 S Cedar Crest Blvd
Ste 208
Allentown, PA 18103
Phone (610) 402-9780

2100 Mack Blvd
#4
Allentown, PA 18103

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1411 Jacobsburg Rd
Fl 2
Wind Gap, PA 18091

Interoperability endpoints

  • Direct secure messaging: rboorse12103@direct2.lvhn.org

Organizations & group practices 6

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1568462786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S CEDAR CREST BLVD",
            "address_2": "SUITE 208",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036218",
            "telephone_number": "610-439-4055",
            "fax_number": "610-439-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORSE",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD039198-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.