Active NPI
Ryan Jameson Bosler, MD
- Emergency Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD61340744
- Practice address
- 190 E Bannock St
Boise, ID 83712-6241 - Phone
- (223) 520-8381
- NPI assigned
- May 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R76641 | AZ | |
| Emergency Medicine Physician | 207P00000X | MD61340744 | WA | Primary |
| Emergency Medicine Physician | 207P00000X | M-15349 | ID |
Addresses
Primary practice location
190 E Bannock St
Boise, ID 83712-6241
Mailing address
3080 E Gentry Way Ste 210
Meridian, ID 83642-3013
Phone (208) 384-9022
Other practice location 1
1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone (520) 626-7233
Other practice location 2
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Washington School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111
Hospital & facility affiliations
- Skagit Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
Interoperability endpoints
- rbosler41143@skagit.direct-ci.com
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1679064513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 E GENTRY WAY STE 210",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423013",
"telephone_number": "208-384-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "223-520-8381"
}
],
"practiceLocations": [
{
"address_1": "1501 N Campbell Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857240001",
"country_code": "US",
"telephone_number": "520-626-7233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 E Kincaid St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744126",
"country_code": "US",
"telephone_number": "360-424-4111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSLER",
"first_name": "RYAN",
"middle_name": "JAMESON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-26",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "R76641",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD61340744",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-15349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.