KEITH B BOONE (NPI# 1265495139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265495139 |
| Entity Type | Individual |
| Full Name | KEITH B BOONE |
| Credential | MD |
| Practice Address |
205 E River Park Cir Suite 460 Fresno CA 93720-1571 |
| Mailing Address |
Po Box 28947 Fresno CA 93729-8947 |
| Practice Telephone | 5592614500 |
| Mailing Telephone | 5592285448 |
| Mailing Fax Number | 5592243920 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2014-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G68568 | CA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | G68568 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174667091 | Keith Boone | Counselor | 1827 Atlanta Ave, D-1, Riverside, CA 92507-7419 | 2007-02-16 |
| Street Address |
205 E RIVER PARK CIR SUITE 460 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356304224 | Kelvin D Higa | Internal Medicine | 205 E River Park Cir, Suite 460, Fresno, CA 93720-1571 | 2006-04-10 |
| 1174910020 | Julie Carlock | Registered Nurse | 205 E River Park Cir, Fresno, CA 93720-1571 | 2015-04-17 |
| 1073815767 | Pearl Ma | Surgery | 205 E River Park Cir, #460, Fresno, CA 93720-1571 | 2010-12-01 |
| 1164660353 | Carmen Martell Zuniga | Nurse Practitioner | 205 E River Park Cir, Fresno, CA 93720-1571 | 2009-01-27 |
| 1033295282 | Donald R. Lewis Jr. | Specialist | 205 E River Park Cir, Suite 460, Fresno, CA 93720-1571 | 2006-10-31 |
| 1053334748 | Wai S. Lee | Colon & Rectal Surgery | 205 E River Park Cir, Suite 460, Fresno, CA 93720-1571 | 2006-07-25 |
| 1114980034 | Advanced Laparoscopic Surgery Associates Medical Group Inc | Surgery | 205 E River Park Cir, #460, Fresno, CA 93720-1571 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457583155 | Tienchin Ho | Surgery | 1341 E Santa Ana Ave, Fresno, CA 93704-3435 | 2009-08-13 |
| 1063642866 | Juergen P. Krauthammer, Md, Inc | Surgery | 6057 N 1st St Ste 105, Fresno, CA 93710-5468 | 2009-07-15 |
| 1992961270 | John Chih-chieh Lin | Surgery | 7575 N Cedar Ave Ste 101, Fresno, CA 93720-2693 | 2008-08-06 |
| 1417118159 | Ibironke Vivian Adelaja | Surgery | 2335 E Kashian Ln Ste 220, Fresno, CA 93701-2211 | 2008-06-24 |
| 1790950137 | Herbert E. Gladen, M.d., Inc. | Surgery | 2351 W Loma Linda Ave, Fresno, CA 93711-0417 | 2008-04-28 |
| 1932370335 | Camille Avina Miller | Surgery | 2823 North Fresno Street, Dept of Surgery, 1st Floor, Fresno, CA 93721 | 2008-03-13 |
| 1578731428 | Kalwant S Dhillon | Surgery | 4425 W Ashlan Ave Ste 106, Fresno, CA 93722-7017 | 2008-02-13 |
| 1255519583 | Jennifer Louise Hubbard | Surgery | 2823 N Fresno St, Fresno, CA 93701 | 2008-02-08 |
| 1386825164 | Ana Luisa De La Sierra | Surgery | 5388 W Donner Ave, Fresno, CA 93722-3765 | 2007-11-20 |
| 1629278031 | Paul Frazier Frye | Surgery | 3075 W Silverhill Ln, Fresno, CA 93711-1176 | 2007-07-23 |
| Find all providers in FRESNO | ||||
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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.