| Dr John Works Boardman, MD | |
|
1110 Chapin St, Beloit, WI 53511-6472 | |
| (608) 362-2343 | |
| Not Available |
| Full Name | Dr John Works Boardman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 1110 Chapin St, Beloit, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164484721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101235454 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 36892-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Medical Center | Roanoke, VA | Hospital |
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Oroville Hospital | Oroville, CA | Hospital |
| Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Radiological Associates Pc | 0345232732 | 46 |
| St Lukes Clinic Llc | 1052217478 | 294 |
| Mercy Diagnostic Imaging Pc | 1153233283 | 53 |
| Oroville Hospital | 1254234339 | 86 |
| Acadiana Radiology Group | 1355403114 | 54 |
| White Mountain Radiology | 2365429123 | 38 |
| Wayne Radiologists Pa | 2769496066 | 26 |
| Abercrombie Radiological Consultants Inc | 3072411834 | 53 |
| X-ray Professional Association | 3375539927 | 56 |
| Columbus Radiology Physicians Llc | 3971863416 | 60 |
| Carilion Tazewell Community Hospital | 4183604259 | 64 |
| Centra Medical Group Llc | 4789606088 | 681 |
| Jason L Hwang Md Inc | 6103171012 | 46 |
| Focus Medical Imaging | 6406999259 | 119 |
| North Platte Nebraska Hospital Corporation | 6507856697 | 199 |
| Radiology Medical Group Of Napa | 7113906397 | 32 |
| Winchester Radiologists Pc | 7113915281 | 63 |
| South Florida Medical Imaging Pa | 7618869900 | 50 |
| Tennessee Valley Radiology Llc | 9133105521 | 38 |
| Enloe Medical Center | 9739092388 | 325 |
| Intercity Radiology Pc | 9830003847 | 41 |
| Carilion Medical Center | 9830096585 | 914 |
| Entity Name | Direct Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20140107000794 |
| Entity Name | Oroville Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710372909 PECOS PAC ID: 1254234339 Enrollment ID: O20160328000797 |
| Entity Name | Radiology Group Of Abington Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477541035 PECOS PAC ID: 5991780892 Enrollment ID: O20171027001199 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20180921000211 |
| Entity Name | Simi Radiology And Imaging Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132275 PECOS PAC ID: 6507845369 Enrollment ID: O20181222000070 |
| Entity Name | Intercity Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356390736 PECOS PAC ID: 9830003847 Enrollment ID: O20181224000026 |
| Entity Name | Jason L Hwang Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811486616 PECOS PAC ID: 6103171012 Enrollment ID: O20190109001925 |
| Entity Name | Acadiana Radiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649422726 PECOS PAC ID: 1355403114 Enrollment ID: O20190423001489 |
| Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20190530002710 |
| Entity Name | Catawba Radiological Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679684948 PECOS PAC ID: 9335036789 Enrollment ID: O20190627001174 |
| Entity Name | Radiology Consultants Of Lynchburg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922037043 PECOS PAC ID: 8022077205 Enrollment ID: O20190729000108 |
| Entity Name | Columbus Radiology Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467964718 PECOS PAC ID: 3971863416 Enrollment ID: O20190730002946 |
| Entity Name | Cumberland Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20191213001377 |
| Entity Name | South Florida Medical Imaging Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518945575 PECOS PAC ID: 7618869900 Enrollment ID: O20191230000385 |
| Entity Name | Tennessee Valley Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356367551 PECOS PAC ID: 9133105521 Enrollment ID: O20200402001867 |
| Entity Name | Mountain Medical Physician Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20200423002329 |
| Entity Name | X-ray Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790758449 PECOS PAC ID: 3375539927 Enrollment ID: O20201001003461 |
| Entity Name | Medford Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20201123000123 |
| Entity Name | Wayne Radiologists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779621 PECOS PAC ID: 2769496066 Enrollment ID: O20201228001891 |
| Entity Name | Stamford Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154633980 PECOS PAC ID: 6901099746 Enrollment ID: O20210129001333 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20211208001162 |
| Entity Name | White Mountain Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225018146 PECOS PAC ID: 2365429123 Enrollment ID: O20230202001999 |
| Entity Name | Focus Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528299989 PECOS PAC ID: 6406999259 Enrollment ID: O20230203002369 |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20230928002424 |
| Entity Name | Cmsc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20240307000534 |
| Entity Name | Eastern Radiological Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639102171 PECOS PAC ID: 0345232732 Enrollment ID: O20240315001138 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386426864 PECOS PAC ID: 3375449655 Enrollment ID: O20240508000806 |
| Entity Name | Scott County Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1124536990 PECOS PAC ID: 3375829112 Enrollment ID: O20240823002758 |
| Entity Name | Mercy Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477509768 PECOS PAC ID: 1153233283 Enrollment ID: O20240916002187 |
| Entity Name | Abercrombie Radiological Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942207154 PECOS PAC ID: 3072411834 Enrollment ID: O20240923003166 |
| Entity Name | North Platte Nebraska Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134355332 PECOS PAC ID: 6507856697 Enrollment ID: O20241017000216 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20241115000451 |
| Entity Name | Winchester Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123977 PECOS PAC ID: 7113915281 Enrollment ID: O20241127000178 |
| Entity Name | Carilion Tazewell Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427040328 PECOS PAC ID: 4183604259 Enrollment ID: O20241217001127 |
| Entity Name | Memorial Hospital Of Converse County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20241226002640 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20250130002883 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20250204002481 |
| Entity Name | Radiology Medical Group Of Napa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285666313 PECOS PAC ID: 7113906397 Enrollment ID: O20250326000191 |
| Entity Name | Beverly Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538110846 PECOS PAC ID: 0345241154 Enrollment ID: O20250422002109 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Works Boardman, MD 22100 Bothell Everett Hwy, Bothell, WA 98021-8431 Ph: (208) 416-2932 | Dr John Works Boardman, MD 1110 Chapin St, Beloit, WI 53511-6472 Ph: (608) 362-2343 |
Miguel A Jimenez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5269 | |
Thomas J Lisk, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5269 | |
Dr. Eric P. Xanthopoulos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Beloit Health System Uw Cancer Center, 1670 Lee Lane, Beloit, WI 53511 Phone: 608-364-5253 Fax: 608-364-5252 | |
George Cherian, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5269 | |
Dr. Eric J Goth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-362-7888 Fax: 608-362-8470 | |
Philip Budihardjo, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-362-7888 |