Keith J Boston (NPI# 1609953256, PAC ID# 1153401153) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1609953256 |
| PAC ID by PECOS | 1153401153 |
| Professional Enrollment ID | I20080103000311 |
| Full Name | Keith J Boston |
| Address |
3150 Gilmore St Placerville CA 95667-5500 |
| Phone Number | 5306224884 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050254 | MARSHALL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3150 Gilmore St, Placerville, CA 95667-5500 | 5306224884 |
| Street Address |
3150 GILMORE ST |
| City | PLACERVILLE |
| State | CA |
| Zip | 95667-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chi Mei Van Hoozen | Internal Medicine | 4770 Rocklin Road, Suite 3, Rocklin, CA 95667-3334 | |
| Matthew H Shepherd | Chiropractic | 279 Placerville Dr, Suite C, Placerville, CA 95667-3931 | |
| Esther S Hall | Chiropractic | 183 Placerville Dr, Suite A, Placerville, CA 95667-3933 | |
| Charles W Burns | Chiropractic | 183 Placerville Dr, Suite A, Placerville, CA 95667-3933 | |
| Beverly Scherf | Clinical Psychologist | 2864 Ray Lawyer Dr, Suite 201, Placerville, CA 95667-3936 | |
| Michael F Liddell | Chiropractic | 2864 Ray Lawyer Dr, Placerville, CA 95667-3938 | |
| Mark Schwartzmeyer | Chiropractic | 640 Placerville Dr, Placerville, CA 95667-4215 | |
| Mandeep Singh | Nephrology | 941 Spring, Suite 2, Placerville, CA 95667-4546 | |
| Dennis J Moore | Chiropractic | 941 Spring St, Suite 1, Placerville, CA 95667-4546 | |
| Terry C Weyl | Psychologist, Clinical | 941 Spring St, Suite 5, Placerville, CA 95667-4546 | |
| Find all physicians in zip 95667 | |||
| City | PLACERVILLE |
| Zip Code | 95667 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | PLACERVILLE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Keith J Boston.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.