LOUIS BOELEN (NPI# 1588615199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588615199 |
| Entity Type | Individual |
| Full Name | LOUIS BOELEN |
| Credential | M.D. |
| Practice Address |
2200 E Washington St Bloomington IL 61701-4364 |
| Mailing Address |
Po Box 9518 Peoria IL 61612-9518 |
| Practice Telephone | 3096632237 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360550861 | 05 |
| Street Address |
2200 E WASHINGTON ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383139 | Liza M. Pilch | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2005-08-15 |
| 1154930436 | Tianna Elaine Marie Nicholas | Nurse Practitioner | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-07-23 |
| 1063040004 | Bailey Wilson | Occupational Therapist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-03-27 |
| 1679104624 | Mark Garbek | Physician Assistant | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-01-29 |
| 1326688870 | Shannon Colleen Trosper | Nurse Practitioner | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-01-13 |
| 1174174536 | Ivanna Tiffany Yu | Physician Assistant | 2200 E Washington St, Bloomington, IL 61701-4364 | 2019-09-26 |
| 1912564634 | Hanna Marguerite Cresci | Speech-Language Pathologist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2019-05-29 |
| 1730654336 | Samantha Schuckles | Physical Therapist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2018-10-10 |
| 1447758107 | Theresa M Hill | Nurse Practitioner | 2200 E Washington St, Bloomington, IL 61701-4364 | 2018-01-29 |
| 1821527201 | Jacob Peter Holton | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639378250 | Christopher Michael Carter | Pathology | 601 W 2nd St Rm 216, Bloomington, IN 47403 | 2007-07-13 |
| 1689627853 | Rejeana Mullins | Pathology | 27 Pebblebrook Ct, Bloomington, IL 61705-6300 | 2006-05-18 |
| 1174508345 | Robert D Lodge-rigal | Pathology | 601 West Second Street, Bloomington, IN 47402-2317 | 2005-12-10 |
| 1821319526 | Bret R Huber | Pathology | 601 W 2nd St, Bloomington, IN 47403-2317 | 2010-06-16 |
| 1396976759 | Mark Braun | Pathology | 1001 E 3rd St, Medical Sciences, Jordan Hall 104, Bloomington, IN 47405-7005 | 2009-08-04 |
| 1003072489 | Beatriz Sanchez | Pathology | 601 West Second Street, Bloomington, IN 47402-2317 | 2008-08-05 |
| 1699863647 | Mark E Fons | Pathology | 601 West Second Street, Bloomington, IN 47402-2317 | 2006-10-11 |
| 1841229507 | Bloomington Medical Laboratory Physicians, S.c. | Pathology | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-07-02 |
| 1649223843 | Chinbang Li | Pathology | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-05-18 |
| 1952354102 | Larry W Joyce | Pathology | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-05-18 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.