NPIMap

Individual provider Active NPI

George M. Boston, M.D.

  • Anesthesiology Physician
  • Springfield, OH
National Provider Identifier
1871687376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.086998 Issued in OH
Practice address
1343 N Fountain Blvd
Springfield, OH 45504-1422
Phone
(937) 390-5000
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.086998 OH Primary

Addresses

Primary practice location

1343 N Fountain Blvd
Springfield, OH 45504-1422

Mailing address

376 12 Oaks TRL
Beavercreek, OH 45434-5887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070417000020 OH Practitioner - Anesthesiology 4284739533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wright State University Boonshoft School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Anesthesiologists IncGroup PAC ID 9537063789, 17 clinicians

Practice addresses (Care Compare)

100 W Main St
Springfield, OH 45502-1312
Phone (937) 521-3906

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.086998OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Anesthesiologists Inc Anesthesiology CurrentSince Jan 29, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Springfield Regional Anesthesia, Inc Anesthesiology Past Accepting new patients

Locations

100 W Main St
Springfield, OH 45502
Phone (937) 521-3900

1343 N Fountain Blvd
Springfield, OH 45504
Phone (937) 390-0500

904 Scioto St
Urbana, OH 43078
Phone (937) 293-0136

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871687376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 12 OAKS TRL",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454345887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N FOUNTAIN BLVD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041422",
            "telephone_number": "937-390-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "GEORGE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.086998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.