Anthony G Bohorfoush III, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD00025454 Issued in WA

Practice address

1560 N 115TH St
Suite 207
Seattle, WA 98133-8414

Phone

(206) 668-1341

Fax

(206) 668-1342

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1689645285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST",
            "address_2": "SUITE 207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-668-1341",
            "fax_number": "206-668-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHORFOUSH",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00025454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689645285",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerrissa Marie Bohn, ARNP
• Philip D Bohn, MSW
• Courtney Bohna, OT
• Danielle Bohonos
• Joseph Bohonos, MD
• Melinda S Bohrer, PT, OTR/L
• Lyubomyr Bohuta, MD, PHD
• Wendy Dumas Boic, SLP
• Patricia E Boiko, MD, MPH
• Leah Boisen, PHD

• All providers in Seattle, WA
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.