Organization Active NPI

Boran & Puzzi Ear, Nose & Throat Associates, PC

  • Otolaryngology Physician
  • Pottsville, PA
National Provider Identifier
1881664167
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD030208E Issued in PA
Legal business name
BORAN & PUZZI EAR, NOSE & THROAT ASSOCIATES, PC
Practice address
100 Schuylkill Medical PLZ
Suite 205
Pottsville, PA 17901-3663
Phone
(570) 621-5010
Fax
(570) 628-2525
NPI assigned
Jan 26, 2006
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Thomas Boran Sr., MDNPI 1497748685
Title
Partner
Phone
(570) 621-5010

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
Otolaryngology Physician 207Y00000X MD030208E PA Primary
Audiologist 231H00000X AT0008696L PA

Addresses

Primary practice location

100 Schuylkill Medical PLZ
Suite 205
Pottsville, PA 17901-3663

Mailing address

100 Schuylkill Medical PLZ
Suite 205
Pottsville, PA 17901-3663
Phone (570) 621-5010

Other identifiers 2

IdentifierTypeStateIssuer
CG9280OtherPATRAVELERS MEDICARE
1332083OtherHIGHMARK BS

National Provider Directory

National Provider Directory

Locations

100 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-5010

100 Schuylkill Medical Plz
Ste 205
Pottsville, PA 17901
Phone (570) 621-5010

Practitioners & affiliated clinicians

Practitioners 2

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1881664167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SCHUYLKILL MEDICAL PLZ",
            "address_2": "SUITE 205",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013663",
            "telephone_number": "570-621-5010",
            "fax_number": "570-628-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SCHUYLKILL MEDICAL PLZ",
            "address_2": "SUITE 205",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013663",
            "telephone_number": "570-621-5010",
            "fax_number": "570-628-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORAN & PUZZI EAR, NOSE & THROAT ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "BORAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "570-621-5010",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD030208E",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT0008696L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CG9280",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1332083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.