Dr Robert P Boran, MD | |
700 E Norwegian St, Pottsville, PA 17901-2710 | |
(570) 621-4440 | |
(570) 621-4445 |
Full Name | Dr Robert P Boran |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 700 E Norwegian St, Pottsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518913821 | NPI | - | NPPES |
1008674360001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD-022201-E (Pennsylvania) | Primary |
Entity Name | Schuylkill Health System Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert P Boran, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Dr Robert P Boran, MD 700 E Norwegian St, Pottsville, PA 17901-2710 Ph: (570) 621-4440 |
Myron D Haas, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 700 Schuylkill Manor Rd, Pottsville, PA 17901 Phone: 570-622-5672 Fax: 570-622-6099 | |
Calvin D Stoudt, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Schuylkill Manor Rd, Suite 1, Pottsville, PA 17901 Phone: 570-622-5672 Fax: 570-622-6099 | |
Dr. Jason Phillips, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 48 Tunnel Rd, Suite 203, Pottsville, PA 17901 Phone: 570-624-4777 Fax: 570-624-4778 | |
Thomas D Guastavino, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 700 Schuylkill Manor Rd, Suite 1, Pottsville, PA 17901 Phone: 570-622-5672 Fax: 570-622-6099 | |
Dr. Karl William Helmold, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Schuylkill Manor Rd Ste 3, Pottsville, PA 17901 Phone: 570-621-4440 Fax: 570-621-4445 |