Lee Allen Boxberger, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9108451 Issued in FL

Practice address

1515 June Ave
Panama City, FL 32405-3759

Phone

(850) 215-2896

Fax

(850) 747-5326

NPI assigned

Oct 19, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: lee.boxberger.1@14940.direct.athenahealth.com

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1689663866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 JUNE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053759",
            "telephone_number": "850-215-2896",
            "fax_number": "850-747-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 JUNE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053759",
            "telephone_number": "850-215-2896",
            "fax_number": "850-747-5326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 AUDUBON DR",
            "address_purpose": "LOCATION",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504594",
            "country_code": "US",
            "telephone_number": "850-267-6767",
            "fax_number": "850-807-5467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOXBERGER",
        "first_name": "LEE",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Bowen, LMHC
• Tiffany Bowen, RN
• Ashley Nicole Bowers
• Vanita Andrea Bowick
• Craig David Bowlen, LMT
• Kathryn Boyce, RN
• Rachael Boyd, APRN
• Miriam S. Bozarth, PH.D
• Susan Overton Bozarth
• BPSG L.L.C. (St. Andrews Pharmacy)

• Medical Physician Assistant in Panama City, FL
• Providers in Panama City, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.