Active NPI
Deborah Bohan, PA
- Physician Assistant
- Springfield, MA
National Provider Identifier
1992758759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008741
- Practice address
- 271 Carew St
Springfield, MA 01104-2377 - Phone
- (413) 748-9820
- Fax
- (413) 748-7040
- NPI assigned
- May 19, 2006
- Last updated
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008741 | MI | Primary |
Addresses
Primary practice location
271 Carew St
Springfield, MA 01104-2377
Mailing address
7250 Parkway Dr Ste 500
Hanover, MD 21076-1343
Phone (443) 949-0814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.3 of 100
- Quality
- 71.45
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003748 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc McKeesport | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Hospitalist Physician
- Springfield, MA
- NPI 1669036737
-
- General Acute Care Hospital
- McKeesport, PA
- NPI 1194734798
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1992758759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7250 PARKWAY DR STE 500",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761343",
"telephone_number": "443-949-0814",
"fax_number": "443-949-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042377",
"telephone_number": "413-748-9820",
"fax_number": "413-748-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHAN",
"first_name": "DEBORAH",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2021-06-30",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.