Boas Surgical, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

3000007439 Issued in PA

Legal business name

BOAS SURGICAL, INC.

Practice address

3050 Hamilton Blvd Ste 220
Allentown, PA 18103-3691

Phone

(610) 432-6736

Fax

(610) 433-3848

NPI assigned

Jun 1, 2005

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Reg Compliance Specialist III

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hanger Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1982606208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD STE 220",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033691",
            "telephone_number": "610-432-6736",
            "fax_number": "610-433-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOAS SURGICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "3000007439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009363070002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Skies Solutions
• Bluepeak Healthcare LLC
• Scott Frederick Michael Blumhof, D.O.
• John Michael Blundetto, PA
• Kathryn Boardman, RD
• Kwame O Boateng, RPH
• Lydia A Boateng, MD
• Patricia Bobal, RPH
• Cassandra Ann Boccardi, MA, LAPC, NCC
• Courtney Bock-Hencken, ME

• Prosthetic/Orthotic Supplier in Allentown, PA
• Providers in Allentown, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.