| 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. |
|---|---|
| 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 |
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: Not Enrolled in Medicare 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 |