MARK BOSTON (NPI# 1023000601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023000601 |
| Entity Type | Individual |
| Full Name | MARK BOSTON |
| Credential | M.D. |
| Practice Address |
333 N Santa Rosa St San Antonio TX 78207-3108 |
| Mailing Address |
2200 Bergquist Dr 59th Sss/sgoso, Ste 100 Lackland Afb TX 78236-9907 |
| Practice Telephone | 2107044039 |
| Mailing Telephone | 2102925623 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2011-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
M6056 | TX | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
23534 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
333 N SANTA ROSA ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191071 | Martha Ruth Morse | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2005-06-01 |
| 1629698816 | Shanice Latham | Student in an Organized Health Care Education/Training Program | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2020-04-17 |
| 1568082899 | Francesca Michelle Lormeus | Student in an Organized Health Care Education/Training Program | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2020-04-16 |
| 1396387999 | Rachel H Brownlee-kurita | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-10-15 |
| 1063063691 | Madeline Berndt | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1093366627 | Valerie Lynn O'bar | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1578114104 | Taryn Prado | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1891346417 | Emily Bitetto | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1164073789 | Amy Bellanger | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1083265656 | Christus Santa Rosa Health Care Corporation | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548554645 | Continua Health Care Inc. | Otolaryngology | 926 Brooklyn Ave, San Antonio, TX 78215-1637 | 2011-06-06 |
| 1558522615 | Morgan Taylor Fordham Jr. | Otolaryngology | 333 N. Santa Rosa, Ste Ll, San Antonio, TX 78207 | 2008-06-21 |
| 1306807268 | William D Clark | Otolaryngology | 333 N Santa Rosa Street, Goldsbury Center Lower Level, San Antonio, TX 78207-3108 | 2006-03-30 |
| 1558359539 | Eric Wayne Baroni | Otolaryngology | 333 N. Santa Rosa St, Suite Ll, San Antonio, TX 78207-3108 | 2005-10-12 |
| 1033120399 | Lisa Mckay Buckmiller | Otolaryngology | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815950 | Yusif Hajiyev | Otolaryngology | 6701 Fannin St Ste 640.2, Houston, TX 77030-2608 | 2020-03-08 |
| 1982876058 | Matthew Seth Sitton | Otolaryngology | 6701 Fannin St Ste 540, Houston, TX 77030-2608 | 2008-03-29 |
| 1700088739 | Ronald Jason Vilela | Otolaryngology | 6701 Fannin St Ste 640, Houston, TX 77030-2610 | 2007-06-01 |
| 1205891553 | Alan Douglas Murray | Otolaryngology | 783 N Denton Tap Rd, Suite 200, Coppell, TX 75019-2169 | 2006-04-19 |
| 1942265285 | Paul Wade Bauer | Otolaryngology | 783 N. Denton Tap Rd, Ste 200, Coppell, TX 75019 | 2006-04-19 |
| 1043270630 | Amy Cornelia Brenski | Otolaryngology | 11445 Dallas Pkwy Ste 240, Frisco, TX 75033-4254 | 2006-03-27 |
| 1376532929 | James Hao-yuang Liu | Otolaryngology | 17450 St Lukes Way, 200, The Woodlands, TX 77384-8044 | 2005-10-17 |
| 1245661529 | Adult & Pediatric Ear, Nose, Throat & Allergy of The Woodlands, Pllc | Otolaryngology | 17450 St Lukes Way, Ste 200, The Woodlands, TX 77384-8044 | 2013-12-11 |
| 1366880080 | Frisco Ent for Children, P.l.l.c. | Otolaryngology | 11445 Dallas Pkwy, Suite 240, Frisco, TX 75033-4255 | 2013-06-05 |
| 1497199061 | Shiva Daram | Otolaryngology | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2013-04-24 |
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| City | SAN ANTONIO |
| Zip Code | 78207 |
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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.