Boffa Medical Group LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BOFFA MEDICAL GROUP LLC

Doing business as

Boffa Surgical Group, LLC

Practice address

5140 N California Ave
Suite 780
Chicago, IL 60625-3645

Phone

(773) 273-6810

Fax

(773) 273-5532

NPI assigned

Aug 14, 2006

Last updated

Sep 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Frank Boffa, MDNPI 1164433181

Title

Partner

Phone

(773) 273-6810

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Boffa Surgical Group, LLC Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Frank Boffa, M.D.

  • Surgery Physician
  • Chicago, IL
  • NPI 1164433181
  NPD (past) Authorized official
• Andrew Steve Agos, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1861403891
  NPD (past)
• Giovanni David Giannotti, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1619989688
  NPD (past)
• Prasanna Saraswathi Nair, M.D.

  • Internal Medicine Physician
  • Niles, IL
  • NPI 1538381355
  NPD (past)
• Sharon Noble Goldish, M.D.

  • Surgery Physician
  • Daytona Beach, FL
  • NPI 1891791380
  NPD (past)
• Anthony Edward Raspanti, MD

  • Surgery Physician
  • Gastonia, NC
  • NPI 1144232182
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1689687527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE 780",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-273-6810",
            "fax_number": "773-273-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE 780",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-273-6810",
            "fax_number": "773-273-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOFFA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "BOFFA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-273-6810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL GROUP NUMBER",
            "identifier": "0001630046",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boffa Surgical Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kari Michelle Boersen, PA-C
• Meghan Kathleen Boesen, APN, CNP
• Amy M Boettcher, CRNA
• Katherina Renate Boettge, MD
• Stacey L Boetto, DNP, FNP-C
• James Frank Boffa, M.D.
• Margaret Marie Boffa, MT-BC
• Catherine Bogacki
• Michele T Bogacki, D.D.S.
• Corrin Renee Bogan

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.