MR. MARK A BOOMERSHINE PA
NPI 1164617122
Physician Assistant - Medical in East Lansing, MI
About Mr. Mark A Boomershine Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK A BOOMERSHINE PA (NPI 1164617122) is an individual medical provider in East Lansing, Michigan, licensed in Michigan (5601001393) and active in the NPI registry since September 2007.
NPPES Registry Identity
Specialties & Licenses
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.
EAST LANSING, MI 48823
EAST LANSING, MI 48823
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 Mark Boomershine's NPI number?
The NPI number for Mark Boomershine is 1164617122. It was assigned to this individual provider in the NPPES registry on September 12, 2007.
Where is Mark Boomershine located?
Mark Boomershine practices at 3496 E Lake Lansing Rd Suite 100, East Lansing, MI 48823. The listed phone number is (517) 333-0968.
What is Mark Boomershine's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for Mark Boomershine was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
