Active NPI
David R Boston, MD
- Cardiovascular Disease Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD00029739
- Practice address
- 400 NE Mother Joseph PL
SW Washington Medical Center
Vancouver, WA 98664 - Phone
- (360) 514-2000
- NPI assigned
- May 6, 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 |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | 29739 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | MD00029739 | WA | Primary |
Addresses
Primary practice location
400 NE Mother Joseph PL
SW Washington Medical Center
Vancouver, WA 98664
Mailing address
4530 SW Fairhaven Dr
Portland, OR 97221-2610
Phone (503) 224-0702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1075449 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Northwestern University Feinberg Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2312 NE 129TH St
Vancouver, WA 98686-3236
Phone (360) 546-8000
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-1734
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29739 | WA | MD | Nuclear Imaging & Therapy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| James J Biemer Jr MD, P.C. | Past | Accepting new patients | |
| Columbia Imaging Group, PS | Past | Accepting new patients | |
| Advanced Medical Imaging Center LLC | Past | Accepting new patients |
Locations
16821 SE McGillivray Blvd
Ste 114
Vancouver, WA 98683
Phone (360) 635-5352
2312 NE 129th St
Vancouver, WA 98686
Phone (360) 546-8950
200 NE Mother Joseph Pl
Ste 400
Vancouver, WA 98664
Phone (360) 256-2640
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Interoperability endpoints
- https://api.platform.athenahealth.com/9868/brand/1/csg/1/fhir/r4
- dboston74351@direct.peacehealth.org
- david.boston.1@21026.direct.athenahealth.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- Diagnostic Radiology Physician
- Vancouver, WA
- NPI 1114008737
-
- Diagnostic Radiology Physician
- Vancouver, WA
- NPI 1730140260
-
- Internal Medicine Physician
- Portland, OR
- NPI 1437278595
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1871542001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 SW FAIRHAVEN DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212610",
"telephone_number": "503-224-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NE MOTHER JOSEPH PL",
"address_2": "SW WASHINGTON MEDICAL CENTER",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98664",
"telephone_number": "360-514-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTON",
"first_name": "DAVID",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "WA",
"license": "29739",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00029739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1075449",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.