STEPHANIE ANNE BOYARSKY (NPI# 1124080247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124080247 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANNE BOYARSKY |
| Credential | MD |
| Practice Address |
1789 N Keyser Ave Scranton PA 18508-1250 |
| Practice Telephone | 5709691904 |
| Practice Fax Number | 5702075314 |
| Mailing Telephone | 5709691904 |
| Mailing Fax Number | 5702075314 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD042647L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012220210002 | 05 | |
| HEALTH AMERICA | 2Y2168 | 01 | |
| PA BLUE SHIELD | 631143 | 01 | |
| GGOLD | 27539 E475 | 01 | |
| PABLUE CROSS | 0461081000 | 01 | |
| GHP | 27539 E475 | 01 | |
| FIRST PRIORITY LIFE | 631143 | 01 | |
| STERLING | E59863 | 01 | |
| GEISINGER HEALTH/990LD 9H | 27539 E475 | 01 | |
| UNITED | 001290633 | 01 | |
| RAILROADMEDICARE | 080070777 | 01 | |
| FIRST PRIORITY HEALTH HMO | 001468 | 01 | |
| BPC | 0461081000 | 01 | |
| AETNA | 536762 | 01 |
| Street Address |
1789 N KEYSER AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18508-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225466899 | Kristen Maritato | Physician Assistant | 1789 N Keyser Ave, Suite B, Scranton, PA 18508-1250 | 2013-10-17 |
| 1770928947 | Melissa Michelle Bertha | Family Medicine | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2013-05-01 |
| 1235480401 | Kathy Helen Kessler | Nurse Practitioner | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2012-09-27 |
| 1023259801 | Joseph Frank Leo | Internal Medicine | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2009-03-09 |
| 1356598817 | Diagnostic Imaging Centers of Nepa, LLC | Radiology | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2008-08-26 |
| 1538331095 | Vanessa Leigh White | Counselor | 1789 N Keyser Ave, Suite 9, Scranton, PA 18508-1250 | 2008-03-25 |
| 1952513111 | Judith Scott Severson | Nurse Practitioner | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2007-05-03 |
| 1578688362 | Marisa Siekierka | Internal Medicine | 1789 N Keyser Ave, Medical Associates of Nepa, Scranton, PA 18508 | 2007-03-20 |
| 1316098221 | William Mark Brown | Podiatrist | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2007-01-16 |
| 1871674028 | Andrew Brown's Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 1789 N Keyser Ave, Suite 2, Scranton, PA 18508-1250 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659843266 | Kelly Artmont | Massage Therapist | Northeastern Rehabilitation Associates, PC, 5 Morgan Highway Suite 4, Scranton, PA 18508 | 2018-12-20 |
| 1881163517 | Mindy Dobroski | Pharmacist | 589 Hamlin Hwy, Hamlin, PA 18508 | 2018-11-26 |
| 1417402249 | Express Urgent Care, LLC | Clinic/Center | 449 Scranton Carbondale Hwy, Dickson City, PA 18508 | 2016-08-22 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1659656924 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Viewmont Mall, Space 844, Scranton, PA 18508 | 2011-10-18 |
| 1689851545 | Carol Ann C Perfilio Pamelia | Chiropractor | 1328 Providence Rd, Scranton, PA 18508 | 2008-01-23 |
| 1821282989 | Osti Klenz Inc | Durable Medical Equipment & Medical Supplies | 7 Viewmont Estates, Scranton, PA 18508 | 2007-08-31 |
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| Find all providers in zip 18508 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518469790 | Ebi Rowshanshad | Family Medicine | 111 N Washington Ave Fl 1, Scranton, PA 18503 | 2018-03-05 |
| 1275721144 | Rajaa Nebbari I | Family Medicine | 305 Mulberry Street, Scranton, PA 18503 | 2007-10-04 |
| 1245422872 | Femi Olokodana | Family Medicine | 305 Mulberry St, Scranton, PA 18503-1230 | 2007-08-17 |
| 1437351178 | Olapeju Modupeola Simoyan | Family Medicine | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2007-06-04 |
| 1851371538 | Diane M Ciaglia | Family Medicine | 300 Lackawanna Ave Unit 200, Scranton, PA 18503-2001 | 2006-01-19 |
| 1245212430 | Samuel Matthew Lesko | Family Medicine | 334 Jefferson Ave, Scranton, PA 18510-2438 | 2005-11-15 |
| 1063405918 | Michael J Turock | Family Medicine | 397 N 9th Ave, Scranton, PA 18504-2005 | 2005-08-25 |
| 1699767087 | Paul Francis Remick | Family Medicine | 1721 N Main Ave, Scranton, PA 18508-1903 | 2005-08-22 |
| 1184248668 | Geisinger Clinic | Family Medicine | 521 Mt Pleasant Dr, Scranton, PA 18503-1993 | 2020-06-01 |
| 1801385331 | Dara Gammon | Family Medicine | 501 Madison Ave, Scranton, PA 18510 | 2018-05-10 |
| Find all providers in SCRANTON | ||||
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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.