Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Thomas Boston, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1891130241

Samuel Thomas Boston, MD is a Pediatric Gastroenterology Physician in Fort Wayne, Indiana. Licensed in Arkansas, Indiana and Oklahoma. Registered with an NPI since 2013.

Licensed in
AR, IN, OK
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11123 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1707
Phone: (260) 425-6100
Fax: (260) 425-6105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 01088906A (IN)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence 29983 (OK)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence E-12203 (AR)

Record details

NPI number1891130241
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2013
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

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