Active NPI
Laura Shelton Boger, MD
- Dermatology Physician
- Washington, DC
National Provider Identifier
1598022501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0086240
- Practice address
- Veterans Affairs Medical Center 50 Irving NW
Washington, DC 20422-5922 - Phone
- (202) 745-8000
- NPI assigned
- Apr 15, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0086240 | MD | Primary |
Addresses
Primary practice location
Veterans Affairs Medical Center 50 Irving NW
Washington, DC 20422-5922
Mailing address
50 Irving Street
Washington, DC 20310-0001
Other practice location 1
University Of Tennessee
910 Madison Avenue, Suite 1031
Memphis, TN 38163-0001
Phone (901) 448-5814
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0086240 | MD | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1598022501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 IRVING STREET",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203100001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VETERANS AFFAIRS MEDICAL CENTER 50 IRVING NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "204225922",
"telephone_number": "202-745-8000"
}
],
"practiceLocations": [
{
"address_1": "University Of Tennessee",
"address_2": "910 Madison Avenue, Suite 1031",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381630001",
"country_code": "US",
"telephone_number": "901-448-5814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGER",
"first_name": "LAURA",
"middle_name": "SHELTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-15",
"last_updated": "2022-08-05",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0086240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.