DR. GARY DEAVER BOSTON M.D.
NPI 1063414241
Orthopaedic Surgery in Phoenix, AZ

Active since June 01, 2005
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 200-5383 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Deaver Boston M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY DEAVER BOSTON M.D. (NPI 1063414241) is an individual orthopaedic surgery provider in Phoenix, Arizona, licensed in Kansas (0418345) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1063414241
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. GARY DEAVER BOSTONCredential: M.D.
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1200 · Fax (602) 200-5383
Fax(602) 200-5383
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateOctober 21, 2015
NPI 1063414241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in KS · 0418345
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4212 N 16TH ST, Phoenix, AZ 85016

Other Identifiers 6

Medicare UPINB91040
Medicare ID-Type Unspecified1394467KS
Medicare ID-Type UnspecifiedJ354467MO
Medicare ID-Type Unspecified104517KS
Medicaid100083430AKS
Medicaid201305919MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Obstetric, High-Risk)
4212 N 16TH ST
PHOENIX, AZ 85016
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Boston's NPI number?

The NPI number for Gary Boston is 1063414241. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Gary Boston located?

Gary Boston practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Gary Boston's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Gary Boston was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.