Organization Active NPI

Kenneth a. Bova

  • Durable Medical Equipment & Medical Supplies
  • Uniontown, PA
National Provider Identifier
1750557740
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
OEG000534 Issued in PA
Legal business name
KENNETH A. BOVA
Practice address
54 Lebanon Ave
Uniontown, PA 15401-4127
Phone
(724) 439-4870
Fax
(724) 439-4871
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Kenneth A Bova, O.D.
Title
O.D./Owner
Phone
(724) 439-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OEG000534 PA Primary

Addresses

Primary practice location

54 Lebanon Ave
Uniontown, PA 15401-4127

Mailing address

54 Lebanon Ave
Uniontown, PA 15401-4127
Phone (724) 439-4870

National Provider Directory

National Provider Directory

Locations

54 Lebanon Ave
Uniontown, PA 15401
Phone (724) 439-4870

54 Lebanon Ave
#B
Uniontown, PA 15401
Phone (724) 439-4870

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1750557740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LEBANON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014127",
            "telephone_number": "724-439-4870",
            "fax_number": "724-439-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LEBANON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014127",
            "telephone_number": "724-439-4870",
            "fax_number": "724-439-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. BOVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BOVA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "O.D./OWNER",
        "authorized_official_telephone_number": "724-439-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "OEG000534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.