LUCY BOEKELHEIDE (NPI# 1255710430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255710430 |
| Entity Type | Individual |
| Full Name | LUCY BOEKELHEIDE |
| Credential | M.D. |
| Practice Address |
500 Renaissance Ctr Ste R560 Detroit MI 48243-1929 |
| Mailing Address |
44250 Dequindre Rd Sterling Heights MI 48314-1002 |
| Practice Telephone | 3134733800 |
| Practice Fax Number | 3134733800 |
| Mailing Telephone | 2489640400 |
| Mailing Fax Number | 2489640401 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301107294 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
500 RENAISSANCE CTR STE R560 |
| City | DETROIT |
| State | MI |
| Zip Code | 48243-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740694850 | Rachel Lynn Kelley | Family Medicine | 500 Renaissance Ctr Ste R560, Detroit, MI 48243-1929 | 2014-06-17 |
| 1821459454 | Jesse Morris Zrull | Family Medicine | 500 Renaissance Ctr Ste R560, Detroit, MI 48243-1929 | 2016-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055424 | Aeos Care Mi, Inc. | In Home Supportive Care | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-03-06 |
| 1952837163 | Genuine Care Services LLC | Exclusive Provider Organization | 400 Renaissance Center Suite 2600, Detroit, MI 48243 | 2017-05-08 |
| 1245786029 | Elissa Karstu | Chiropractor | 600 Tower Level 1, Renaissance Center, Detroit, MI 48243 | 2016-08-31 |
| 1730664202 | Aeos Care Mi, Inc. | Durable Medical Equipment & Medical Supplies | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-10-01 |
| 1447744982 | Rebecca Lindgren | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2018-06-19 |
| 1366959710 | Quenessa C Miller | Technician, Health Information | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2018-01-08 |
| 1225543010 | Jennifer Le-ann Sofranski | Psychologist | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2017-12-03 |
| 1366982076 | Whitney Jenerette | Counselor | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2017-02-28 |
| 1073961694 | Aaron Byrne | Counselor | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2016-05-25 |
| 1578985206 | Kathleen Wilson | Behavioral Analyst | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 | 2014-01-15 |
| Find all providers in zip 48243 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354811 | Lorie Ann Turner | Family Medicine | 1728 Sheridan St, Detroit, MI 48214-2410 | 2020-04-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1508326687 | Randi Nguyen | Family Medicine | 22151 Moross Rd Ste 212, Detroit, MI 48236-2177 | 2019-03-23 |
| 1982194338 | Green Cross Medical Center PC | Family Medicine | 18041 Greenfield Rd, Detroit, MI 48235-3120 | 2018-05-11 |
| 1205339306 | Conant Family Care Pllc | Family Medicine | 3611 Carpenter St Ste 5, Detroit, MI 48212-2784 | 2018-03-14 |
| 1801303086 | St Mary Mercy Physician Practices | Family Medicine | 5555 Conner St Ste 2691, Detroit, MI 48213-3812 | 2018-01-09 |
| 1427408376 | Raquel Orlich | Family Medicine | 1620 Michigan Ave Ste 125, Detroit, MI 48216-1493 | 2016-06-21 |
| 1295181543 | Ammar Charestan | Family Medicine | 6071 Outer Dr W, Detroit, MI 48235 | 2016-05-05 |
| 1629423652 | Rajni Parmar | Family Medicine | 6001 W Outer Dr Ste 430, Detroit, MI 48235-2626 | 2016-04-27 |
| 1265886733 | Benjamin Abraham | Family Medicine | One Ford Place 2e, Henry Ford Hospital, Department of Family Medicine, Detroit, MI 48202 | 2016-04-20 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.