Christopher B Boatwright, PA
Individual provider Active NPI Physician Assistant · Alliance, OH
NPI 1780928481 · NPPES record last updated Aug 13, 2015
Key facts
- NPI
- 1780928481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50003620 (OH)
- Practice address
- 1900 S Union Ave
Suite 100
Alliance, OH 44601-4355 - Phone
- (330) 596-6500
- Fax
- (330) 596-6505
- NPI assigned
- Nov 19, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohio Specialty Physicians Corporation
Practice addresses (Care Compare)
2600 Tuscarawas St W
Canton, OH 44708-4699
Hospital & facility affiliations
- Alliance Community Hospital
- Aultman Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.3 of 100
- Quality
- 58.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.25
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 77.5
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 74.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130116000179 | OH | Practitioner - Physician Assistant | 7315190733 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50003620 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Specialty Physicians Corporation | Current |
Accepting new patients |
Locations
1900 S Union Ave
Ste 100
Alliance, OH 44601
Phone (330) 596-6500
2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702
1020 Trump Rd NW
Ste 1
Carrollton, OH 44615
Phone (330) 433-1258
6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778
6100 Whipple Ave NW
Ste 200
North Canton, OH 44720
Phone (234) 546-1047
Interoperability endpoints
- christopher.boatwright@direct.aultman.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50003620 | OH | Yes |
Addresses
Primary practice location
1900 S Union Ave
Suite 100
Alliance, OH 44601-4355
Mailing address
1900 S Union Ave
Suite 100
Alliance, OH 44601-4355
Phone (330) 596-6500
Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.