Organization Active NPI

Ruben Boyajian, MD

  • Surgery Physician
  • Effingham, IL
National Provider Identifier
1912334558
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036054426 Issued in IL
Legal business name
RUBEN BOYAJIAN, MD
Practice address
904 Medical Park Drive
Suite 2
Effingham, IL 62401
Phone
(217) 347-2255
Fax
(217) 342-6910
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Dr. Ruben Boyajian, MDNPI 1912917188
Title
Physician
Phone
(217) 347-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 036054426 IL Primary

Addresses

Primary practice location

904 Medical Park Drive
Suite 2
Effingham, IL 62401

Mailing address

904 Medical Park Dr
Suite 2
Effingham, IL 62401-2193
Phone (217) 347-2255

National Provider Directory

National Provider Directory

Locations

904 Medical Park Dr
Ste 2
Effingham, IL 62401
Phone (217) 347-2255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1912334558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MEDICAL PARK DR",
            "address_2": "SUITE 2",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012193",
            "telephone_number": "217-347-2255",
            "fax_number": "217-342-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MEDICAL PARK DRIVE",
            "address_2": "SUITE 2",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-347-2255",
            "fax_number": "217-342-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN BOYAJIAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "BOYAJIAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "217-347-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036054426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.