Paul W Boone Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00040105 Issued in WA

Practice address

14692 179TH Ave SE
Suite 500
Monroe, WA 98272-1198

Phone

(360) 794-7994

Fax

(360) 805-4757

NPI assigned

Jun 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• King County Public Hospital District No 2

  dba Booth Gardner Parkinsons Care Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment NPD
• King County Public Hospital District No 2

  dba EvergreenHealth Medical Group Snohomish County

  • Family Medicine Physician
  • Bothell, WA
  • NPI 1902907165
  NPD
• King County Public Hospital District No. 2

  dba EvergreenHealth at Home Physical Therapy

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD
• King County Public Hospital District No. 2

  dba EvergreenHealth Medical Group King County

  • Clinic/Center
  • Redmond, WA
  • NPI 1750612883

  Family Medicine

  NPD
• Public Hospital District No 2

  dba Evergreen Medical Group Sammamish

  • Family Medicine Physician
  • Sammamish, WA
  • NPI 1417058694
  NPD
• Bourget Health Services Inc

  dba Pathology Associates Med Laboratories

  • Clinical Medical Laboratory
  • Spokane, WA
  • NPI 1033117338
  NPD (past)
• Kennewick Public Hospital District

  dba Kennewick General Hospital Home Health Care

  • Home Health Agency
  • Kennewick, WA
  • NPI 1184797433
  NPD (past)
• Public Hospital District 1 of King County

  dba Prescription Pad Pharmacy South

  • Institutional Pharmacy
  • Renton, WA
  • NPI 1679862189
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952342974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 W MARINE VIEW DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013926",
            "telephone_number": "425-258-7014",
            "fax_number": "425-258-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14692 179TH AVE SE",
            "address_2": "SUITE 500",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721198",
            "telephone_number": "360-794-7994",
            "fax_number": "360-805-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00040105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8425910",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Raeann Black, PA-C
• Debra Ann Blaha, N.D.
• Melanie Boffey, LMP
• Carolyn Joanne Bohnen, MA
• Bokelyn Health Associates
• Jonathan C Borjeson, D.O.
• Samuel Logan Borroff, LMHC
• Christopher Bosworth-Ursino, LAC
• Laurel Nicholson Bourge, LMT
• Breanna Boyd

• Family Medicine Physician in Monroe, WA
• Providers in Monroe, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.