DR. SHAWNIECE DEVON BOSS (NPI# 1629463401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629463401 |
| Entity Type | Individual |
| Full Name | DR. SHAWNIECE DEVON BOSS |
| Credential | DPM |
| Practice Address |
1800 Cortez Rd W Bradenton FL 34207-1335 |
| Practice Telephone | 9417588818 |
| Practice Fax Number | 9417552901 |
| Mailing Telephone | 9417588818 |
| Mailing Fax Number | 9417552901 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO4090 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | PO4090 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7915 Us Highway 301 N Ste 104, Ellenton, FL 342223532 | 9417765199 | 9417763750 |
| 8430 Cooper Creek Blvd Ste 101, University Park, FL 342012016 | 9413609300 | 9413609304 |
| Street Address |
1800 CORTEZ RD W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34207-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878594 | Garrett L Harte | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2005-08-11 |
| 1811341811 | Loyd A Tomlinson IIi | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2016-04-16 |
| 1295121838 | Noelis Maria Rosario | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2015-04-10 |
| 1669888053 | Michelle Suzanne Emery Pulsifer | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2014-07-07 |
| 1912276494 | Cortez Foot & Ankle Specialists, P.a. | Physical Therapist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2011-12-29 |
| 1215094776 | Cortez Foot & Ankle Specialists P.a. | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2007-01-03 |
| 1225077241 | Cortez Foot Surgery Center, P.a. | Clinic/Center | 1800 Cortez Rd W, Suite B, Bradenton, FL 34207-1335 | 2006-06-05 |
| 1588656169 | Richard N Berkun | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2005-08-18 |
| 1487656104 | Philip J Baldinger | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2005-08-12 |
| 1528060407 | Christopher J Addison | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2005-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1265817829 | Elizabeth Anne Gross Baumgartner | Nurse Practitioner | 5515 27th St West, Bradenton, FL 34207 | 2015-07-24 |
| 1710152673 | Oasis Temps Health Care, Inc. | Nursing Care | 4814 26th Street West, Unit B, Bradenton, FL 34207 | 2008-04-22 |
| 1669694873 | Comfortable Care Dental Health Professionals, Pa | Dentist | 6513 14th Street West, Suite 131, Bradenton, FL 34207 | 2007-05-03 |
| 1831258524 | Susan Marie Mackey | Counselor | New View Counseling, 4506 26th Street West Suite C, Bradenton, FL 34207 | 2006-12-08 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1033285952 | Neuromuscular Insitutute Inc | Physical Therapist | 4802 26th St West, Suite C, Bradenton, FL 34207 | 2006-11-24 |
| 1346315561 | Judith Rhea Korn | Social Worker | 6108 26th St West, Suite 3b, Bradenton, FL 34207 | 2006-11-22 |
| 1770652018 | Richard Allen Feasley | Dentist | 4418 5th St W, Bradenton, FL 34207 | 2006-11-08 |
| Find all providers in zip 34207 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871003384 | Fps Florida Podiatric Services, Inc. | Podiatrist | 4206 30th Ln E, Bradenton, FL 34208-7383 | 2017-10-10 |
| 1225313711 | Suncoast Foot & Ankle Specialists Inc | Podiatrist | 8614 E. S.r. 70, Suite 200, Bradenton, FL 34202 | 2011-10-15 |
| 1154368207 | Alissa B Zdancewicz | Podiatrist | 1611 53rd Ave W, Bradenton, FL 34207-2868 | 2006-05-31 |
| 1346208212 | Ronald Terry Hadam | Podiatrist | 4207 59th Street W, Bradenton, FL 34209-6663 | 2006-05-02 |
| 1295121838 | Noelis Maria Rosario | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2015-04-10 |
| 1669888053 | Michelle Suzanne Emery Pulsifer | Podiatrist | 1800 Cortez Rd W, Bradenton, FL 34207-1335 | 2014-07-07 |
| 1578977245 | Dustin Marshall Stroud | Podiatrist | 1611 53rd Ave W, Bradenton, FL 34207-2868 | 2014-06-20 |
| 1952735219 | Mark A. Dreyer | Podiatrist | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2013-08-22 |
| 1932548146 | Megan Sandora Saltzman | Podiatrist | 1611 53rd Ave W, Bradenton, FL 34207-2868 | 2013-06-20 |
| 1457639387 | Mcr Health, Inc. | Podiatrist | 300 Riverside Dr E, Suite 1500, Bradenton, FL 34208-1008 | 2011-07-26 |
| Find all providers in BRADENTON | ||||
Please comment or provide details below to improve the information on DR. SHAWNIECE DEVON BOSS.
| 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.