RICHARD BOMAN (NPI# 1275170706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275170706 |
Entity Type | Individual |
Full Name | RICHARD BOMAN |
Practice Address |
500 Sugar St Layton UT 84041-4616 |
Practice Telephone | 4355129506 |
Mailing Telephone | 4355129506 |
Enumeration Date | 2019-12-03 |
Last Update Date | 2019-12-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225500000X | Specialist/Technologist | 289231-1701 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
500 SUGAR ST |
City | LAYTON |
State | UT |
Zip Code | 84041-4616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
Find all providers in zip 84041 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326547019 | Jenica Rae Neuffer | Specialist/Technologist | 4060 Devonshire Dr, Provo, UT 84604-5347 | 2018-02-08 |
1487627832 | Gary Eugene Briggs | Specialist/Technologist | 301 W South Temple, Salt Lake City, UT 84101-1216 | 2006-02-08 |
1801398995 | Alycianna Thomas | Specialist/Technologist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2018-03-05 |
1831601624 | Zachary Carl Walton | Specialist/Technologist | 4444 S 700 E Ste 203, Salt Lake City, UT 84107-3075 | 2017-11-01 |
1427560895 | Briley Shadoh-lea Thirion | Specialist/Technologist | 4444 S 700 E Ste 203, Salt Lake City, UT 84107-3075 | 2017-10-25 |
1003326422 | Zoie Leeann Bleak | Specialist/Technologist | 4444 S 700 E, Salt Lake City, UT 84107-3075 | 2017-10-11 |
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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.