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Hey, Find It

KEITH G BOMAN M.D., NPI 1093719338

Specialist in LAS VEGAS, NV

Last Updated on : Feb 03,2017

KEITH G BOMAN M.D., NPI 1093719338

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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