Active NPI
Boaz Y Leung, CRNA
- Certified Registered Nurse Anesthetist
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AC000362
- Practice address
- 94 Old Mill Rd
Martinsburg, WV 25401-9284 - Phone
- (304) 264-8933
- Fax
- (304) 264-8846
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AC000362 | MD | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 71474 | WV |
Addresses
Primary practice location
94 Old Mill Rd
Martinsburg, WV 25401-9284
Mailing address
94 Old Mill Rd
Martinsburg, WV 25401-9284
Phone (304) 264-8933
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810009996 | Medicaid | WV | |
| 410478100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704
827 Linden Ave
Baltimore, MD 21201-4606
Phone (667) 214-1616
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71474 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| Shock Trauma Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Eastern Panhandle Anesthesia Associates | Past | Accepting new patients | |
| Wvuh-East Services, Inc | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients | |
| City Hospital Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100
611 S Charles St
Baltimore, MD 21230
Phone (410) 328-6331
250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
Interoperability endpoints
- bleung482925@direct.umm.edu
Organizations & group practices 7
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.
-
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1720024235
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1942503164
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Martinsburg, WV
- NPI 1902866882
-
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1659563104
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271030400000",
"number": "1770520967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 OLD MILL RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254019284",
"telephone_number": "304-264-8933",
"fax_number": "304-264-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD MILL RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254019284",
"telephone_number": "304-264-8933",
"fax_number": "304-264-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "BOAZ",
"middle_name": "Y",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2010-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "AC000362",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "71474",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810009996",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410478100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.