Christopher Lawrence Boeke, PA-C
Individual provider Active NPI Medical Physician Assistant · San Tan Valley, AZ
NPI 1619644408 · NPPES record last updated Jul 17, 2023
Key facts
- NPI
- 1619644408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 8019 (AZ)
- Practice address
- 270 E Hunt Hwy Ste A2
San Tan Valley, AZ 85143-4962 - Phone
- (480) 882-2222
- Fax
- (480) 882-2220
- NPI assigned
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Afc Physical Medicine of San Tan Valley, PLLC
Practice addresses (Care Compare)
270 E Hunt Hwy
Suite A2
San Tan Valley, AZ 85143-4962
Phone (480) 726-2287
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210928003735 | AZ | Practitioner - Physician Assistant | 7517364839 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7034950001 | AZ | MD | Durable Medical Equipment & Medical Supplies |
| 7045160001 | AZ | MD | Durable Medical Equipment & Medical Supplies |
| 7046960001 | AZ | MD | Durable Medical Equipment & Medical Supplies |
| 7047150001 | AZ | MD | Durable Medical Equipment & Medical Supplies |
| 7057360001 | AZ | MD | Durable Medical Equipment & Medical Supplies |
| 7209350001 | AZ | MD | Durable Medical Equipment & Medical Supplies |
| 7629170001 | AZ | MD | Durable Medical Equipment & Medical Supplies |
| 7939960001 | AZ | MD | Durable Medical Equipment & Medical Supplies |
| 8220410001 | AZ | MD | Durable Medical Equipment & Medical Supplies |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7057360001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7034950001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 8220410001 | AZ | |
| Medical Physician Assistant | 363AM0700X | 8019 | AZ | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7046960001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7939960001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7047150001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7629170001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7209350001 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7045160001 | AZ |
Addresses
Primary practice location
270 E Hunt Hwy Ste A2
San Tan Valley, AZ 85143-4962
Mailing address
1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028
Phone (480) 726-2287
Other practice location 1
20860 N Tatum Blvd Ste 290
Phoenix, AZ 85050-4282
Phone (480) 563-1144
Other practice location 2
3011 S Lindsay Rd Ste 101
Gilbert, AZ 85295-4333
Phone (480) 726-2500
Other practice location 3
2919 S Ellsworth Rd Ste 111
Mesa, AZ 85212-2165
Phone (480) 564-1185
Other practice location 4
2145 E Warner Rd Ste 104
Tempe, AZ 85284-3549
Phone (480) 664-9443
Other practice location 5
14239 W Bell Rd Ste 108
Surprise, AZ 85374-2470
Phone (623) 248-4283
Other practice location 6
1277 E Missouri Ave Ste 101
Phoenix, AZ 85014-2916
Phone (602) 296-4060
Other practice location 7
15256 N 75th Ave Ste 360
Peoria, AZ 85381-4761
Phone (623) 486-2424
Other practice location 8
3130 E Baseline Rd Ste 107
Mesa, AZ 85204-7290
Phone (480) 345-1980
Other providers in San Tan Valley, AZ
- Bika Compassionate Care LLC
- Seth Black
- Kaylee Nicole Blair
- Matilda Boachie
- Louis William Bock
- Jacklyn Rachelle Boren
- Adam Borgia
- Brian Boring
- Steven Boschetto
- Bradley L Newswander, DPM,PLC
All providers in San Tan Valley, AZ · Medical Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.