Teri Ann Boster, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G83082 Issued in CA

Practice address

2175 Rosaline Ave.
Medical Staff Office
Redding, CA 96049-6009

Phone

(530) 515-1699

Fax

(530) 547-4661

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Seely Medical Corporation

  • Clinic/Center
  • Redding, CA
  • NPI 1497783096
  NPD (past) Authorized official

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720143530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960731280",
            "telephone_number": "530-515-1699",
            "fax_number": "530-547-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE.",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496009",
            "telephone_number": "530-515-1699",
            "fax_number": "530-547-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTER",
        "first_name": "TERI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G83082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5764729",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Borchers, D.D.S.
• Daniel C Borden
• Randall K Borg, MD
• Robyn Borghese, MD
• Michael T Borrello, MD
• Monique Boston
• Tamar Boswell
• Briggs Bosworth
• Jeffrey A Bosworth, MD
• Melanie Bosworth

• Emergency Medicine Physician in Redding, CA
• Providers in Redding, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.