DR. ANDREA DENISE BOAN


Address: 12 Commercial Row Apt A, Charleston, SC 29412-3641
Phone: 8645062319

DR. ANDREA DENISE BOAN (NPI# 1083228514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083228514
Entity Type Individual
Full Name DR. ANDREA DENISE BOAN
Credential PA-C, PHD
Practice Address 12 Commercial Row Apt A
Charleston
SC 29412-3641
Mailing Address 135 Rutledge Ave # Msc561
Charleston
SC 29425-8903
Practice Telephone 8645062319
Mailing Telephone 8438761064
Enumeration Date 2020-09-02
Last Update Date 2020-10-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3679 SC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
135 Rutledge Ave # Msc561, Charleston, SC 294258903 8438761064

Office Location

Street Address 12 COMMERCIAL ROW APT A
City CHARLESTON
State SC
Zip Code 29412-3641

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780219055 Terra Rae Mchugh Speech-Language Pathologist 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 2020-03-07
1437795747 Brigitte Britt Huttemeyer Nurse Practitioner 678 Castle Pinckney Dr, Charleston, SC 29412 2019-11-21
1760956619 Madison Culler, D.m.d., P.a. Dentist 211 Simmons Street, Mount Pleasant, SC 29412 2019-01-14
1366932717 Harborview Speech Therapy, LLC Speech-Language Pathologist 783 Stebbins Street, Charleston, SC 29412 2018-05-11
1780193003 Grace K Cotton Speech-Language Pathologist 1265 Marshview Dr, Charleston, SC 29412 2017-09-29
1639628449 Matthew Husband Occupational Therapist 930 Folly Road, Suite B, Charleston, SC 29412 2016-09-22
1679941843 Renee Poser Pharmacist 907 Folly Rd Suite A, James Island, SC 29412 2015-09-04
1508205717 Amanda Marie Ashcraft Dental Hygienist 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 2013-06-20
1104147818 Glendolyn Harrison Social Worker 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 2010-06-16
1487986055 Rachel E. Brunette Physical Therapist 418 B Folly Rd., Charleston, SC 29412 2010-02-08
Find all providers in zip 29412

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609475326 Rebecca Whealen Physician Assistant 2026 Huber Rd, Charleston, WV 25314-2236 2020-10-23
1275131054 Ethan Brody Clontz Physician Assistant 1953 Pinehurst Ave, Charleston, SC 29414-6483 2020-10-13
1386251635 Caitlin Estep Physician Assistant 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 2020-09-29
1487261509 Reilly Kilpatrick Physician Assistant 1518 Blaze Ln, Charleston, SC 29412-8652 2020-09-24
1194343673 Andrew N Brewer Physician Assistant 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 2020-07-10
1396361309 Jacquelyn Joseph Physician Assistant 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 2020-06-25
1639719990 Jessy Marie Hamrick Physician Assistant 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 2020-01-14
1093355521 Virginia Noemi Escobar-cheng Physician Assistant 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 2020-01-13
1598300279 Breanne Marie Wiekamp Physician Assistant 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 2019-11-17
1528601762 Bailey Holbrook Physician Assistant Trident Medical Center 9330 Medical Plaza Drive, Charleston, SC 29406-6271 2019-10-21
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29412

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Dataset Information

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.

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