PHILIP J. BOSHA M.D.
NPI 1710965116
Family Medicine, Sports Medicine in State College,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 5, 2006

Contact Information

1850 E Park Ave
State College,
Post Code: 16803
Phone: (814) 865-3566
Fax: (814) 863-7803

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Philip J. Bosha M.d. in State College - Family Medicine, Sports Medicine

Philip J. Bosha M.d. is a Family Medicine, Sports Medicine in State College, . Philip J. Bosha M.d. practices all healthcare services and medical treatments related to Family Medicine, Sports Medicine. The NPI Number for Philip J. Bosha M.d. is 1710965116. The last update date is 2019-03-04.

Philip J. Bosha M.d.'s current location address is 1850 E Park Ave, State College, . You can contact this provider via phone number (814) 865-3566 and fax number (814) 863-7803. The mailing address for Philip J. Bosha M.d. is 1850 E Park Ave, State College, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1710965116
Provider Name
PHILIP J. BOSHA M.D.
Gender
Male
Entity Type
Individual
Location Address
1850 E Park Ave, State College,
Location Phone
(814) 865-3566
Location Fax
(814) 863-7803
Mailing Address
Po Box 858, Hershey, Pennsylvania(PA)
Mailing Phone
800-243-1455
Mailing Fax
-
Enumeration Date
2006-01-05
Last Update Date
2019-03-04
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery

Taxonomy Code
207XS0114X
Type
-
License No.
MD420020
License State
Pennsylvania (PA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207QS0010X Sports Medicine (Family Medicine) Physician

Family Medicine, Sports Medicine

L9632 (Texas)
2 207XX0005X Sports Medicine (Orthopaedic Surgery) Physician

Orthopaedic Surgery, Sports Medicine

MD420020 (Pennsylvania)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1016695050001 MEDICAID (05) Pennsylvania (PA)
103542NZ3 Other (non-Medicare) (01) Pennsylvania (PA) Medicare
173210901 MEDICAID (05) Texas (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710965116
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201861012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 27201861012
2 + 7 + 2 + 0 + 1 + 8 + 6 + 1 + 0 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6 6

The NPI number 1710965116 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

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