Laurie Allison Boge, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS10258 Issued in FL

Practice address

3663 S Miami Ave
Miami, FL 33133

Phone

(305) 285-2172

Fax

(724) 430-3098

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Laurie Boyd Pemberton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1922025808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 INDIANA ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "254-702-8210",
            "fax_number": "724-430-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-285-2172",
            "fax_number": "724-430-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGE",
        "first_name": "LAURIE",
        "middle_name": "ALLISON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS013725",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS10258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "OS013725",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "PEMBERTON",
            "middle_name": "BOYD",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Lai Fong Boey, MD
• Bofill Services Group, LLC
• Clara Caridad Bofill, PHARM. D.
• Sandra B Bogarin
• Rachel Bogdan
• Rashetta Gemilia Bohac
• Dominique Bohorquez, MD
• German E Bohorquez, DMD
• Barry Bohrer, CPED
• Martha Elena Boiardt, M.S.

• Emergency Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.