Fouad N Boctor, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

430098 Issued in PA

Practice address

Geisinger Medical Laboratory
100 N. Academy Ave
Danville, PA 17822-0001

Phone

(845) 300-3901

NPI assigned

May 24, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shamokin Area Community Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Coal Township, PA
  • NPI 1265566764
  NPD (past)
• University Group Medical Associates, P.C

  dba Coney Island Medical Group

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1285683102
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821043928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GEISINGER MEDICAL LABORATORY",
            "address_2": "100 N. ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178220001",
            "telephone_number": "845-300-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GEISINGER MEDICAL LABORATORY",
            "address_2": "100 N. ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178220001",
            "telephone_number": "845-300-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCTOR",
        "first_name": "FOUAD",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AL",
            "license": "26036",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "430098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00223996",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle M. Blue, PA-C
• Joshua Blum, MD
• Joseph A. Bobkoskie, PA-C
• Karyssa Ann Bobosky, MD, MPH
• Glenn H. Bock, M.D.
• Jacob Bodde
• Krishna Vallabhbhai Bodrya
• Cherish Marie Boehm, MSN, FNP-BC
• Keith A. Boell, D.O.
• Kendra F. Boell, D.O.

• Anatomic Pathology & Clinical Pathology Physician in Danville, PA
• Providers in Danville, PA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.