Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL THOMAS BOSTON, M.D.
ActiveSAMUEL THOMAS BOSTON, M.D. is a Pediatric Gastroenterology healthcare provider located in FORT WAYNE, Indiana. NPI 1891130241 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · FORT WAYNE, IN
Registration Details
- NPI Number
- 1891130241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2013 (13.318116778682 yrs)
- Last Updated
- Mar 23, 2023
- Licenses
-
29983 (OK)E-12203 (AR)01088906A (IN)
Practice Information
- Address
-
11123 PARKVIEW PLAZA DR STE 200FORT WAYNE, IN, 468451707Browse IN providers · Browse ZIP 46845
- Phone
- 2604256100
- Fax
- 2604256105
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
- Additional Specialty
- Pediatric Gastroenterology
Other Pediatric Gastroenterology Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| STEVEN W. FITTS | MD | 1699871434 |
| DR. EDGARDO D RIVERA-RIVERA | M.D. | 1710151303 |
| DR. ADRIAN CHAPA-RODRIGUEZ | M.D. | 1396051462 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.