Boonslick Pediatrics

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

R7C25 Issued in MO

Legal business name

BOONSLICK PEDIATRICS

Practice address

5600 Mexico Rd Ste 21
Saint Peters, MO 63376-1660

Phone

(636) 441-4144

Fax

(636) 441-4112

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Lobonc

Title

MD

Phone

(636) 441-4144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1962675744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 MEXICO RD STE 21",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761660",
            "telephone_number": "636-441-4144",
            "fax_number": "636-441-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MEXICO RD STE 21",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761660",
            "telephone_number": "636-441-4144",
            "fax_number": "636-441-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONSLICK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "LOBONC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "636-441-4144",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "R7C25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuseppi Bommarito Jr. I, ATC, LAT, BS
• Marissa Bone, NP
• Marie Bonner-Horon
• Karen Elizabeth Boone, M.D.
• Boonslick Medical Group Inc
• Boris Khariton MD PC
• Kristin Doerfler Boruff, OD
• Julie A Boschert, AGNP
• Mark T Boschert, M.D.
• Camille Elizabeth Boss, PT

• Preferred Provider Organization in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.