Donald L Boos Jr., M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

N8196 Issued in AR

Practice address

307 Carpenter Dam Rd Ste F
Hot Springs, AR 71901-8282

Phone

(501) 262-1000

Fax

(501) 262-1011

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1568465698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM RD STE F",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018282",
            "telephone_number": "501-262-1000",
            "fax_number": "501-262-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM RD STE F",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018282",
            "telephone_number": "501-262-1000",
            "fax_number": "501-262-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOS",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AR",
            "license": "N8196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "55507",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2020145",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121454001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050060936",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Paul Bolin, ATC
• Samantha J Bollan, APN
• John B Bond, MD
• Loia Cloud Bondhus, HOT SPRINGS
• Virginia Ann Bonnette, ANP
• Jeffrey H. Bordelon, MD
• Keri Anne Bordelon, CCC-SLP
• Robert Vernon Borg, M.D.
• Floy Jean Borland, CRNA
• Ashley Boutzale, CASE MGR

• Interventional Pain Medicine Physician in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Interventional Pain Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.