KEITH G BOMAN M.D., NPI 1093719338
Specialist in LAS VEGAS, NV
Last Updated on : Feb 03,2017
About KEITH G BOMAN (NPI 1093719338)
KEITH G BOMAN is a Specialist provider in LAS VEGAS, United States. His medical specialization is Specialist .
1093719338 is NPI number of KEITH G BOMAN.
KEITH G BOMAN's primary taxonomy code based on NPI Lookup is 174400000X with license number NV4089. This taxonomy code refers to Specialist.
KEITH G BOMAN has more than 17 years of experience.
KEITH G BOMAN current practice location address is 601 S RANCHO DR, LAS VEGAS, NV. KEITH G BOMAN can be reached out via phone at 702-383-0677 and via fax at 702-383-0688 .
You can also correspond with KEITH G BOMAN through mail at mailing address 9260 W. SUNSET RD, LAS VEGAS, NV, United States. Mailing address contact number is 702-255-3547.
The enumeration date of KEITH G BOMAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 6 years ago.1093719338 NPI Information
Basic NPI information of KEITH G BOMAN (NPI 1093719338) is provided below.
| Name | KEITH G BOMAN |
|---|---|
| National Provider Id (NPI) | 1093719338 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 601 S RANCHO DR,
STE. D-28
LAS VEGAS, NV, United States |
| Practice Telephone | 702-383-0677 |
| Practice Fax Number | 702-383-0688 |
| Mailing Address | 9260 W. SUNSET RD ,
STE200
LAS VEGAS, NV, United States |
| Mailing Telephone | 702-255-3547 |
| Mailing Fax Number | 702-921-2419 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 03-Feb-2017 |
KEITH G BOMAN (NPI 1093719338) 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 | 174400000X | Specialist | NV4089 | NV |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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 |
|---|---|---|---|
| 002002951 | MEDICAID (05) | NV | |
| A45029 | MEDICARE UPIN (02) | NV | |
| AB9391272 | Other (non-Medicare) (01) | NV | DEA number |
| NV 2996 | Other (non-Medicare) (01) | NV | BC/BS indentifier |
| VMD4089 | MEDICARE ID-Type Unspecified (04) | NV |
KEITH G BOMAN (NPI 1093719338) Office Location
Office location of KEITH G BOMAN 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 |
|---|---|---|---|---|
| 1225039647 | ANTHONY JAMES BOCHNA | Internal Medicine, Cardiovascular Disease | PO BOX 98819,
LAS VEGAS, AZ, United States |
09-Aug-2005 |
| 1730431537 | TROPICANA & JONES, LLC | Clinic/Center, Urgent Care | 3336 E CHANDLER HEIGHTS RD,
STE 121 GILBERT, AZ, United States |
04-Oct-2012 |
| 1639608516 | UNIVERSITY NEURO, LLC | Specialist/Technologist, Other, Electroneurodiagnostic | 925B PEACHTREE ST NE STE 710,
ATLANTA, GA, United States |
05-Jun-2017 |
| 1831742758 | LYASS PC A PROFESSIONAL MEDICAL CORP | Clinic/Center | 5950 S. DURGANGO DR,
SUITE 100 LAS VEGAS, CA, United States |
19-Jul-2019 |
| 1053820290 | ROBBYOSHA ROSS | Nurse's Aide | 9968 RIDGE HILL AVENUE,
LAS VEGAS, CA, United States |
20-Sep-2017 |
| 1710357611 | CELESTINE MCKINNEY | Counselor | 4378 WOODWELL ST.,
UNIT D. LAS VEGAS, CA, United States |
05-Oct-2015 |
| 1144658501 | LATOYA MARIE BABER | Behavior Analyst | P.O, BOX 570734,
LAS VEGAS, CA, United States |
23-Oct-2013 |
| 1497299184 | CORRIE TYNE BERK | Nurse Practitioner, Family | 2020 WELLNESS WAY STE 506,
LAS VEGAS, NV, United States |
14-Dec-2016 |
| 1780020016 | EMMA JEAN WATSON | Counselor | 3750 E BONANZA RD UNIT155,
LAS VEGAS, CLARK, United States Minor Outlying Islands |
14-May-2013 |
| 1790061240 | KARINDA ROUSSEAU | Marriage & Family Therapist | 730 NORTH EASTERN #110,
LAS VEGAS, ND, United States |
28-Oct-2011 |
| 1366940058 | YEE TSANG | Technician, Personal Care Attendant | 9328 BUCK HAVEN DR,
LAS VEGAS, NE, United States |
27-Jan-2018 |
| 1740718535 | PRIYA RAMGOPAL NILESHWAR | Internal Medicine | 620 SHADOW LANE,
LAS VEGAS, NV, United States |
24-May-2017 |
| 1710052188 | RAYMOND AUGUST TOZZI | Dentist | 1001 SHADOW LANE,
A 103 LAS VEGAS, NE, United States |
21-Nov-2006 |
| 1508381435 | LOUIE TAQUIQUI | Community/Behavioral Health | 3566 TUNDRA SWAN ST,
LAS VEGAS, NV, United States |
11-Aug-2017 |
| 1295222081 | ALIANTCARE | Radiologic Technologist, Vascular Sonography | 5490 S RAINBOW BLVD,
SUITE 400 N34835 LAS VEGAS, NE, United States |
17-Apr-2018 |
| 1225656945 | VANLUE ORTHODONTICS, PC | Clinic/Center, Dental | 5821 CORTE DE CASA CIR,
LAS VEGAS, NV, United States |
09-Jul-2020 |
| 1922506658 | SALLY ANN CURTIS | Home Health | 93 WAGON BOX RD,
HENDERSON, NV, United States |
29-Jan-2018 |
| 1972825222 | THOMAS CHU | Physician Assistant | 5841 E. CHARLESTON BOULVARD,
230-479 LAS VEGAS, NEVADA, United States Minor Outlying Islands |
26-Feb-2010 |
| 1407103781 | GUERLENE FLEURANTUS | Marriage & Family Therapist | 4365 TERRACE HILL RD APT 201,
LAS VEGAS, NV, United States |
06-Aug-2012 |
| 1588659460 | ROBERT HANG WANG | Obstetrics & Gynecology | 650 N NELLIS BLVD,
LAS VEGAS, NV, United States |
15-Sep-2005 |
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 1093719338?1093719338 is the NPI number of KEITH G BOMAN.
What is the specialty for KEITH G BOMAN?The Specialty of KEITH G BOMAN is Specialist.
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:
|