Gregory W Boake in Fortville - Foot & Ankle Surgery
Gregory W Boake - NPI 1235143512
Gregory W Boake is a Foot & Ankle Surgery in Fortville, Indiana. Gregory W Boake practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Gregory W Boake is 1235143512. The last update date is 2021-02-09.
Gregory W Boake's current location address is Po Box 330, Fortville, Indiana. You can contact this provider via phone number 3178632556 and fax number 3172030420. The mailing address for Gregory W Boake is Po Box 330, Fortville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory W Boake |
|---|---|
| Address | Po Box 330, Fortville, Indiana |
| Phone Number | 3178632556 |
| Fax Number | 3172030420 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1235143512 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2021-02-09 |
Provider Mailing Address Detail
| Address | Po Box 330 |
|---|---|
| City | Fortville |
| State | Indiana (IN) |
| Post Code | 460400330 |
| Phone Number | 3178632556 |
| Fax Number | 3172030420 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 070001028A |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5324290008 | DME FC | ||
| 070001028A | IN | PODIATRIST LICENSE | |
| 5324290003 | DME ES | ||
| 5324290004 | DME BR | ||
| 5324290006 | DME MC | ||
| 5324290005 | DME AC | ||
| 20087023 | IN | -- | |
| 5324290007 | DME WV |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gregory W Boake by the Centers for Medicare & Medicaid Services?
The Gregory W Boake has been assigned the NPI (National Provider Identifier) 1235143512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Gregory W Boake is physically located?
The Gregory W Boake is situated at the following address: Po Box 330, Fortville, IN 460400330.
What is Gregory W Boake's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory W Boake is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235143512 to Gregory W Boake?
The Gregory W Boake received its 1235143512 assignment from the Centers for Medicare & Medicaid Services on 2006-07-29.
As of what date were the Gregory W Boake's details last updated?
The information pertaining to the Gregory W Boake, including its address, specialty, and other details, was most recently updated on 2021-02-09.
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