NPI 1265880322 · live from the CMS NPI Registry
Jonathan Carl Boguski, MD
Anesthesiology in West Columbia, SC. National Provider Identifier 1265880322, active.
NPI record
| NPI | 1265880322 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 2720 Sunset Blvd, West Columbia, SC 29169 |
| Practice phone | 803-791-2000 |
| Mailing address | Po Box 6069, West Columbia, SC 29171 |
| Enumerated | May 31, 2016 |
| Last updated | October 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 125069841 (IL) |
| Surgery | 208600000X | LL39579 (SC) |
| Anesthesiology primary | 207L00000X | 39579 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.