BOAS SURGICAL, INC. – NPI #1477505931
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

BOAS SURGICAL, INC. is a DME Supplier located in WEST CHESTER, PA. NPPES has assigned the NPI number 1477505931 to BOAS SURGICAL, INC. on May 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was last updated on Dec 15, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOAS SURGICAL, INC. below.

NPI Profile for
BOAS SURGICAL, INC.

NPI Number
1477505931
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOAS SURGICAL, INC.
Primary location
1450 E BOOT RD STE 300C
WEST CHESTER, PA 19380-5931
Phone: (610) 696-5650 Fax: (610) 696-5652
Mailing address
PO BOX 650846
DALLAS, TX 75265-0846
Phone: Fax:
Organization Subpart
Yes - BOAS SURGICAL, INC. is subpart of another organization.
Authorized Official
JENNIFER SIMMONS
REGULATORY COMPLIANCE ANALYST III
Phone: (859) 594-2709
Updated
Certification Date
Dec 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BOAS SURGICAL, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidPA0009363070002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
PA 6000006653
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.