RICHARD ALLEN BOE JR. (NPI# 1013327642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013327642 |
| Entity Type | Individual |
| Full Name | RICHARD ALLEN BOE JR. |
| Credential | MD |
| Practice Address |
2041 Mesa Valley Way Ste 100 Austell GA 30106-6856 |
| Practice Telephone | 7709441100 |
| Mailing Telephone | 7709441100 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
84033 | GA | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD467289 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Medical Center Drive, Suite G500, Huntington, WV 257013656 | 3046911262 | 3046911287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710214283 | Richard Robert Boe | Rehabilitation Practitioner | 6055 E Washington Blvd, Commerce, CA 90040-2449 | 2009-11-04 |
| Street Address |
2041 MESA VALLEY WAY STE 100 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-6856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508377078 | Jamison Louis Hartley | Physician Assistant | 2041 Mesa Valley Way Ste 100, Austell, GA 30106-6828 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881895035 | Providence Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 1401 W Spring St, Suite 200, Monroe, GA 30655-1760 | 2007-05-29 |
| 1205274800 | Fernando David Nussenbaum | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2013-06-05 |
| 1265701304 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2011-12-19 |
| 1760627699 | Stattesboro Orthopaedic Center, Inc | Orthopaedic Surgery | 1497 Fair Rd, Ste 101, Statesboro, GA 30458-0823 | 2008-12-05 |
| 1851551535 | Jeffrey Peretz | Orthopaedic Surgery | 5671 Peachtree Dunwoody Rd Ne, Suite 700, Atlanta, GA 30342-5000 | 2008-06-16 |
| 1801950712 | Randall Miller Meredith | Orthopaedic Surgery | 811 13th St, Suite 20, Augusta, GA 30901-2700 | 2006-12-22 |
| 1407923089 | Dublin Multispecialty LLC | Orthopaedic Surgery | 100 Medical Dr, Suite 100 & 200, Dublin, GA 31021 | 2006-11-29 |
| 1518977701 | Timothy Richard Young | Orthopaedic Surgery | 1 Freedom Way, Vamc Orthopedics, Augusta, GA 30904-6258 | 2006-08-09 |
| 1720019698 | Thomas Lane Bradbury Jr. | Orthopaedic Surgery | 59 Executive Park S, Atlanta, GA 30329-2208 | 2006-07-06 |
| 1295761450 | Greg Erens | Orthopaedic Surgery | 59 Executive Park S, Suite 2000, Atlanta, GA 30329-2208 | 2006-06-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.