NPIMap

Organization Active NPI

Medical Associates of Boswell

  • Rural Health Clinic/Center
  • Stoystown, PA
National Provider Identifier
1871628651
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MEDICAL ASSOCIATES OF BOSWELL
Practice address
136 S Pine Ave
Stoystown, PA 15563-6002
Phone
(814) 893-5568
Fax
(814) 893-5989
NPI assigned
Feb 22, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL ASSOCIATES OF BOSWELLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. William O Thompson, MDNPI 1669427878
Title
Administrator
Phone
(814) 893-5568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X PA Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

136 S Pine Ave
Stoystown, PA 15563-6002

Mailing address

136 S Pine Ave
Box 340
Stoystown, PA 15563-6002
Phone (814) 893-5568

Other identifiers 4

IdentifierTypeStateIssuer
000322665OtherPAHIGHMARK
000069206OtherPAHIGHMARK
1007698380001MedicaidPA
1007698380002MedicaidPA

National Provider Directory

National Provider Directory
Part of
Medical Assoc of Boswel

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1871628651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S PINE AVE",
            "address_2": "BOX 340",
            "city": "STOYSTOWN",
            "state": "PA",
            "postal_code": "155636002",
            "telephone_number": "814-893-5568",
            "fax_number": "814-893-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S PINE AVE",
            "city": "STOYSTOWN",
            "state": "PA",
            "postal_code": "155636002",
            "telephone_number": "814-893-5568",
            "fax_number": "814-893-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF BOSWELL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF BOSWELL",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-893-5568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000322665",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000069206",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007698380001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007698380002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoystown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.