DONALD MARK BOSTIC (NPI# 1437347929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437347929 |
| Entity Type | Individual |
| Full Name | DONALD MARK BOSTIC |
| Credential | PS-S |
| Practice Address |
25 W Main St Austin IN 47102-1303 |
| Practice Telephone | 8127948100 |
| Practice Fax Number | 8127948200 |
| Mailing Telephone | 8127948100 |
| Mailing Fax Number | 8127948200 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10000954A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200490500A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629322953 | Donald Bostic | Pharmacist | 7000 Snider Plz, Dallas, TX 75205-1335 | 2012-11-08 |
| Street Address |
25 W MAIN ST |
| City | AUSTIN |
| State | IN |
| Zip Code | 47102-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189492 | Jennifer Winans | Nurse Practitioner | 25 W Main St, Austin, IN 47102-1303 | 2020-09-17 |
| 1053968297 | Hannah Mae Nance | Nurse Practitioner | 25 W Main St, Austin, IN 47102-1303 | 2019-08-22 |
| 1497316657 | Katelyn Dakota Jae Mcintosh | Registered Nurse | 25 W Main St, Austin, IN 47102-1303 | 2019-06-27 |
| 1770952897 | Tara Pearcy | Nurse Practitioner | 25 W Main St, Austin, IN 47102-1303 | 2015-09-18 |
| 1720097322 | Foundations Family Medicine PC | Clinic/Center | 25 W Main St, Austin, IN 47102-1303 | 2006-08-05 |
| 1699749770 | William E Cooke Jr. | Emergency Medicine | 25 W Main St, Austin, IN 47102 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194859942 | Scott County Chiropractic Center, P.s.c. | Chiropractor | 2897 North Highway 31, Austin, IN 47102 | 2007-03-15 |
| 1265403828 | Williams Bros. Health Care Pharmacy, Inc. | Pharmacy | 10 W. Main Street, Austin, IN 47102 | 2006-01-31 |
| 1942613963 | James Gene Wilcox | Emergency Medicine | 45 W Main St, Austin, IN 47102 | 2014-06-06 |
| 1104236363 | Scott County School Corporation District No.1 | Local Education Agency (LEA) | 255 Hwy 31 South, Austin, IN 47102-0009 | 2014-04-28 |
| 1760564140 | Kerry S. Goodin, D.d.s., P.C. | Dentist | 60 W Main St, Po Bxo 70, Austin, IN 47102-0070 | 2006-10-19 |
| 1497007751 | Midas Touch Business Holdings, Inc | Chiropractor | 67 W Main St, Austin, IN 47102-1303 | 2012-10-11 |
| 1245428143 | Brett E Usher | Chiropractor | 67 W Main St, Austin, IN 47102-1303 | 2007-10-05 |
| 1205883394 | Stewart's Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 57 W Main St, Austin, IN 47102-1303 | 2006-05-27 |
| 1467895896 | Jason Ashcraft | Pharmacist | 10 W Main St, Austin, IN 47102-1304 | 2013-04-16 |
| 1871506956 | Jeffrey Lynn Wells | Pharmacist | 10 W Main St, Austin, IN 47102-1304 | 2006-08-13 |
| Find all providers in zip 47102 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1588207344 | Haley Margaret Roberts | Physician Assistant | 2200 Park Bend Dr Bldg 3-300, Austin, TX 78758-5386 | 2019-10-24 |
| 1073178901 | Ndukaku Dayton Ibe | Physician Assistant | 4411 Spicewood Springs Rd Apt 208, Austin, TX 78759-8570 | 2019-05-06 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1437607793 | Danielle Marie Werge | Physician Assistant | 6601 Vaught Ranch Rd, Suite 200, Austin, TX 78730-2307 | 2016-09-15 |
| 1831556158 | Kristin Serrano | Physician Assistant | 1524 S Interstate 35, Suite 202, Austin, TX 78704-8931 | 2016-01-16 |
| 1912309675 | Rachael Lichtenberger | Physician Assistant | 11609 Anderson Mill Rd, Austin, TX 78750-1354 | 2014-09-24 |
| 1417367707 | Sarah Caroline Moody Vance | Physician Assistant | 3000 N Interstate 35 Ste 600, Austin, TX 78705-1850 | 2014-05-07 |
| 1801165485 | Maegen Ricki Kennedy | Physician Assistant | 4107 South Captial Texas Hwy Suite 100a, Austin, TX 78704 | 2011-12-28 |
| Find all providers in AUSTIN | ||||
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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.