GARY DEAVER BOSTON M.D., NPI 1063414241
Orthopaedic Surgery in PASADENA, CA
Last Updated on : Oct 21,2015
About GARY DEAVER BOSTON (NPI 1063414241)
GARY DEAVER BOSTON is an Orthopaedic Surgery provider in PASADENA, United States. His medical specialization is Orthopaedic Surgery .
1063414241 is NPI number of GARY DEAVER BOSTON.
GARY DEAVER BOSTON's primary taxonomy code based on NPI Lookup is 207X00000X with license number 0418345. This taxonomy code refers to Orthopaedic Surgery.
GARY DEAVER BOSTON has more than 17 years of experience.
GARY DEAVER BOSTON current practice location address is PO BOX 31001-0698, PASADENA, CA. GARY DEAVER BOSTON can be reached out via phone at 602-263-1200 and via fax at 602-200-5383 .
You can also correspond with GARY DEAVER BOSTON through mail at mailing address 4212 N 16TH ST, PHOENIX, AZ, United States. Mailing address contact number is 602-263-1200.
The enumeration date of GARY DEAVER BOSTON is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 8 years ago.1063414241 NPI Information
Basic NPI information of GARY DEAVER BOSTON (NPI 1063414241) is provided below.
| Name | GARY DEAVER BOSTON |
|---|---|
| National Provider Id (NPI) | 1063414241 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | PO BOX 31001-0698,
PASADENA, CA, United States |
| Practice Telephone | 602-263-1200 |
| Practice Fax Number | 602-200-5383 |
| Mailing Address | 4212 N 16TH ST ,
PHOENIX, AZ, United States |
| Mailing Telephone | 602-263-1200 |
| Mailing Fax Number | 602-200-5383 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 21-Oct-2015 |
GARY DEAVER BOSTON (NPI 1063414241) 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 | 207X00000X | Orthopaedic Surgery | 0418345 | KS |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 |
|---|---|---|---|
| 100083430A | MEDICAID (05) | KS | |
| 201305919 | MEDICAID (05) | MO |
GARY DEAVER BOSTON (NPI 1063414241) Office Location
Office location of GARY DEAVER BOSTON 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 |
|---|---|---|---|---|
| 1346596335 | 1 SENIOR HOME HEALTH, LLC | Home Health | 747 N LAKE AVE STE D,
PASADENA, CA, United States |
27-Jul-2012 |
| 1316521065 | 100 PERCENT CHIROPRACTIC LIVINGOOD, INC | Chiropractor | 129-131 W. CALIFORNIA BLVD.,
PASADENA, CA, United States |
10-May-2021 |
| 1578927489 | 1046 NORTH POINT, LLC | Skilled Nursing Facility | 8028 RITCHIE HWY,
SUITE 210B PASADENA, MD, United States |
06-Apr-2016 |
| 1669775326 | 1450 NORTH FAIR OAKS LLC | Skilled Nursing Facility | 1450 N FAIR OAKS AVE,
PASADENA, CA, United States |
17-Dec-2010 |
| 1548889140 | 1570 FAIR OAKS LLC | Skilled Nursing Facility | 1301 DANA PL,
FULLERTON, CA, United States |
14-Apr-2020 |
| 1639798234 | 1899 RAYMOND LLC | Skilled Nursing Facility | 1301 DANA PL,
FULLERTON, CA, United States |
14-Apr-2020 |
| 1982230777 | 1ST BEHAVIORAL HEALTH GROUP LLC | General Practice | 3219 BURKE RD UNIT B-1,
PASADENA, TX, United States |
12-Mar-2020 |
| 1548434368 | 3D HEARING, INC. | Hearing Aid Equipment | 8025 RITCHIE HWY,
STE 102 PASADENA, MD, United States |
14-Apr-2008 |
| 1194990325 | 3D HEARING, INC. | Hearing Aid Equipment | 8025 RITCHIE HWY,
SUITE 102 PASADENA, MD, United States |
29-Apr-2008 |
| 1598226094 | 3P PROPERTY II | Assisted Living Facility | 143 N. GREENWOOD AVE,
BACK UNIT PASADENA, CA, United States |
27-Mar-2019 |
| 1306229604 | 4 M PHARMACY INC | Pharmacy, Community/Retail Pharmacy | 960 E GREEN ST STE 152,
PASADENA, CA, United States |
04-Jul-2015 |
| 1255668547 | 5 STAR HOSPICE CARE, INC. | Hospice Care, Community Based | 13375 UNIVERSITY AVENUE,
SUITE 200 CLIVE, IA, United States |
09-Nov-2009 |
| 1083337083 | 606 TX ENTERPRISES LLC | In Home Supportive Care | 4531 BANDERA RUN CT,
PASADENA, TX, United States |
23-Sep-2022 |
| 1770193641 | 986 SPECIALTY PHARMACY PASADENA INC | Pharmacy, Long Term Care Pharmacy | 1719 E WALNUT ST,
PASADENA, CA, United States |
05-Aug-2020 |
| 1972244747 | 986 SPECIALTY PHARMACY PASADENA INC | Pharmacy, Specialty Pharmacy | 1719 E WALNUT ST,
PASADENA, CA, United States |
05-Apr-2022 |
| 1831299874 | 986 SPECIALTY PHARMACY PASADENA INC | Pharmacy, Community/Retail Pharmacy | 1719 E. WALNUT ST.,
PASADENA, CA, United States |
22-Sep-2006 |
| 1588248116 | A & A HOSPICE CARE SERVICES | Hospice Care, Community Based | 222 E GLENARM ST STE B3,
PASADENA, CA, United States |
10-May-2021 |
| 1427675735 | A & C HOSPICE | Hospice Care, Community Based | 183 N HILL AVE STE 202A,
PASADENA, CA, United States |
02-Jul-2020 |
| 1316955834 | A & K MEDICAL SUPPLIES INC | Durable Medical Equipment & Medical Supplies | 2990 E COLORADO BLVD,
105 PASADENA, CA, United States |
03-Aug-2006 |
| 1568015774 | A BETTER LIFE | Counselor, Addiction (Substance Use Disorder) | 221 E WALNUT ST STE 120,
PASADENA, CA, United States |
17-Jul-2019 |
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 1063414241?1063414241 is the NPI number of GARY DEAVER BOSTON.
What is the specialty for GARY DEAVER BOSTON?The Specialty of GARY DEAVER BOSTON is Orthopaedic Surgery.
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:
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