SALLY A. BOMAR M.D., NPI 1043212228
Family Medicine in MARYVILLE, MO
Last Updated on : Nov 09,2012
About SALLY A. BOMAR (NPI 1043212228)
SALLY A. BOMAR is a Family Medicine provider in MARYVILLE, United States. Her medical specialization is Family Medicine .
1043212228 is NPI number of SALLY A. BOMAR.
SALLY A. BOMAR's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 105981. This taxonomy code refers to Family Medicine.
SALLY A. BOMAR has more than 17 years of experience.
SALLY A. BOMAR current practice location address is 114 EAST SOUTH HILLS DR., MARYVILLE, MO. SALLY A. BOMAR can be reached out via phone at 660-562-2525 and via fax at 660-562-7993 .
You can also correspond with SALLY A. BOMAR through mail at mailing address 2016 S MAIN ST, MARYVILLE, MO, United States. Mailing address contact number is 660-562-2525.
The enumeration date of SALLY A. BOMAR is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 11 years ago.1043212228 NPI Information
Basic NPI information of SALLY A. BOMAR (NPI 1043212228) is provided below.
| Name | SALLY A. BOMAR |
|---|---|
| National Provider Id (NPI) | 1043212228 |
| Entity Type | Individual |
| Gender | F |
| Credential | M.D. |
| Practice Address | 114 EAST SOUTH HILLS DR.,
MARYVILLE, MO, United States |
| Practice Telephone | 660-562-2525 |
| Practice Fax Number | 660-562-7993 |
| Mailing Address | 2016 S MAIN ST ,
MARYVILLE, MO, United States |
| Mailing Telephone | 660-562-2525 |
| Mailing Fax Number | 660-562-4303 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 09-Nov-2012 |
SALLY A. BOMAR (NPI 1043212228) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 105981 | MO |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
SALLY A. BOMAR (NPI 1043212228) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 31578 | IA |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0984591 | MEDICAID (05) | IA | |
| 208078311 | MEDICAID (05) | MO |
SALLY A. BOMAR (NPI 1043212228) Office Location
Office location of SALLY A. BOMAR is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1447362041 | A MOVING EXPERIENCE INC | Physical Therapist | 2140 COLONIAL CIR,
MARYVILLE, TN, United States |
31-Aug-2006 |
| 1972751832 | AACET, INC | Physical Therapist | PO BOX 6167,
MARYVILLE, TN, United States |
04-Sep-2008 |
| 1053332148 | AACET, INC. | Clinic/Center, Rehabilitation | PO BOX 6167,
MARYVILLE, TN, United States |
22-Jul-2006 |
| 1548606312 | EMILY ABBOTT | Pharmacist | 2207 E BROADWAY AVE,
MARYVILLE, TN, United States |
20-May-2013 |
| 1851437685 | KATHRYN JEFFRIES ABBOTT | Registered Nurse, Community Health | 1363 W HUNT RD,
MARYVILLE, TN, United States |
29-Jan-2007 |
| 1457738023 | DANIEL ABERCROMBIE | Pharmacist | 715 ENTERPRISE WAY,
MARYVILLE, TN, United States |
02-May-2015 |
| 1295761443 | JOHN F. ABERCROMBIE | Emergency Medicine | PO BOX 634706,
CINCINNATI, OH, United States |
22-Jun-2006 |
| 1144430794 | AMANDA ABSHER | Counselor, Mental Health | 907 E LAMAR ALEXANDER PKWY,
MARYVILLE, TN, United States |
23-May-2007 |
| 1568999381 | ACBC VENTURES LLC | Private Vehicle | 204 SIMMONS ST,
MARYVILLE, TN, United States |
11-May-2017 |
| 1477813277 | ACCUQUEST HEARING CENTERS | Clinic/Center, Hearing and Speech | 2800 W HIGGINS RD,
SUITE 895 HOFFMAN ESTATES, IL, United States |
25-May-2012 |
| 1073099727 | CASSIDY ADAMS | Speech-Language Pathologist, | PO BOX 5209,
MARYVILLE, TN, United States |
16-Jul-2018 |
| 1144242546 | ROBERT E ADHAM | Otolaryngology | 275 CHEROKEE PROFESSIONAL PARK,
MARYVILLE, TN, United States |
24-Jul-2006 |
| 1538406517 | THERESA ADKINS | Nurse Practitioner | 103 W BROADWAY AVE,
MARYVILLE, TN, United States |
10-Jan-2013 |
| 1649345406 | ADULT & FAMILY DENTISTRY, INC. | Dentist, General Practice | 1740 BIG SPRINGS RD,
MARYVILLE, TN, United States |
21-Nov-2006 |
| 1922263524 | ADVANCED CHIROPRACTIC OF MARYVILLE PC | Chiropractor | 1206 S MAIN ST,
MARYVILLE, MO, United States |
23-Jul-2008 |
| 1427544188 | ADVANCED CHIROPRACTIC OF NODAWAY COUNTY, P.C. | Chiropractor | 1206 S MAIN ST,
MARYVILLE, MO, United States |
06-Jul-2018 |
| 1033121157 | ADVANCED DERMATOLOGY OF EAST TENNESSEE, P.C. | Dermatology | 615 SMITHVIEW DR,
MARYVILLE, TN, United States |
13-Aug-2006 |
| 1275876179 | ADVANCED HEARING CENTER | Hearing Instrument Specialist | 821 ROSS DR,
MARYVILLE, TN, United States |
29-Mar-2013 |
| 1205167509 | ADVANCED MEDICAL GROUP | Nurse Practitioner, Adult Health | 615 LEEPER PKWY,
LENOIR CITY, TN, United States |
26-Jan-2010 |
| 1275873630 | ADVANCED PRACTICE PSYCHIATRY LLC | Community/Behavioral Health | 641 MORGANTON SQUARE DR,
MARYVILLE, TN, United States |
21-Feb-2013 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1043212228?1043212228 is the NPI number of SALLY A. BOMAR.
What is the specialty for SALLY A. BOMAR?The Specialty of SALLY A. BOMAR is Family Medicine.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|