| The Boster Center For Multiple Sclerosis | |
|
8000 Ravines Edge Ct Ste 200 Columbus OH 43235-5422 | |
| (614) 736-0230 | |
| Not Available |
| Full Name | The Boster Center For Multiple Sclerosis |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8000 Ravines Edge Ct Ste 200, Columbus, Ohio |
| Authorized Official Name and Position | Aaron Boster (OWNER) |
| Authorized Official Contact | 6143043444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Boster Center For Multiple Sclerosis 8000 Ravines Edge Ct Ste 200 Columbus OH 43235-5422 Ph: (614) 304-3444 | The Boster Center For Multiple Sclerosis 8000 Ravines Edge Ct Ste 200 Columbus OH 43235-5422 Ph: (614) 736-0230 |
| NPI Number | 1174166680 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 6002240991 |
|---|---|
| Medicare Enrollment ID | O20191231001819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174166680 | NPI | - | NPPES |
| 2917035 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Aaron L Boster |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760641740 PECOS PAC ID: 6507933710 Enrollment ID: I20080930000065 |
| Provider Name | Meredith L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710295225 PECOS PAC ID: 0840483582 Enrollment ID: I20101026000609 |
| Provider Name | Sara O'bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992249981 PECOS PAC ID: 7719261932 Enrollment ID: I20170306002721 |
| Provider Name | Valerie Dawn Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275007213 PECOS PAC ID: 8820321433 Enrollment ID: I20190613003180 |
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