DR. MICHAEL D BOEHM (NPI# 1750300141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750300141 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D BOEHM |
| Credential | MD |
| Practice Address |
300 W Hospital Rd Meb Section Fort Gordon GA 30905-5741 |
| Practice Telephone | 7067879136 |
| Practice Fax Number | 7067879136 |
| Mailing Telephone | 7067879136 |
| Mailing Fax Number | 7067879136 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME55585 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FEI | 34-1371375 | 01 |
| RAILROAD MEDICARE | P00699936 | 01 | |
| RAILROAD MEDICARE ATTACHED TO GRP DQ3034 | P00830193 | 01 | |
| FL | 271186900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750588463 | Michael Edward Boehm | Psychologist | 189 33rd St, Brooklyn, NY 11232-2109 | 2007-06-27 |
| 1356651277 | Michael Edward Boehm | Dentist | 1280 E Polston Ave, Post Falls, ID 83854-6056 | 2010-10-13 |
| 1205000494 | Michael Edward Boehm | Counselor | 1707 Main St, La Crosse, WI 54601-4200 | 2008-04-17 |
| 1912984360 | Michael Douglas Boehm | Ophthalmology | 2001 5th St, Suite 49 Eye Surgeons Associates PC, Silvis, IL 61282 | 2005-12-28 |
| Street Address |
300 W HOSPITAL RD MEB SECTION |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007467 | John Keenan Wilson | Internal Medicine | 300 W Hospital Rd, Building 300, Fort Gordon, GA 30905-5741 | 2005-07-18 |
| 1629687751 | Benjamin Lee Tigges | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-07-24 |
| 1104441179 | Gia-thien H Nguyen | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-15 |
| 1184249765 | Roman Avila | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-10 |
| 1417572116 | Francesco Anthony Biolzi | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-09 |
| 1114568268 | Ryan Sever | Psychologist | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-09-30 |
| 1801446497 | Seth Randall | Nurse Practitioner | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-09-16 |
| 1275188179 | Jason Celestino | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-08-07 |
| 1467011668 | Angelina Kathleen Trush | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-06-11 |
| 1790271989 | Joshua Orszag | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710545553 | Palcare Health LLC | Internal Medicine | 1315 Merry Ln Ne, Atlanta, GA 30329-3903 | 2019-06-05 |
| 1518334200 | Miguel E Stubbs M D P C | Internal Medicine | 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 | 2015-08-28 |
| 1497155469 | Golden Geriatrics LLC | Internal Medicine | 632 Vinings Estates Dr Se, Mableton, GA 30126-5991 | 2014-08-27 |
| 1821361577 | Senior Care Office, LLC | Internal Medicine | 2020 Beverly Road, Gainesville, GA 30501-2037 | 2012-02-10 |
| 1609162965 | Linduc PC | Internal Medicine | 2680 Lawrenceville Hwy Ste 202, Decatur, GA 30033-2526 | 2011-06-24 |
| 1447574918 | David L. Anders, M.d., P.C. | Internal Medicine | 101 Mcwilliams Dr, Peachtree City, GA 30269-6948 | 2010-03-26 |
| 1639319502 | New Snellville Clinic | Internal Medicine | 2331 Henry Clower Blvd, Suite A, Snellville, GA 30078-3155 | 2009-03-04 |
| 1952557977 | Diego Hernando Remolina | Internal Medicine | 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 | 2008-08-11 |
| 1912165192 | Aristotle Cochon | Internal Medicine | 955 Lynn Dr, Waycross, GA 31503-8590 | 2008-05-25 |
| 1972792265 | Perimeter Medical Associates,p.c. | Internal Medicine | 3775 N. Druid Hills Rd, Decatur, GA 30033 | 2007-10-23 |
| Find all providers with the same taxonomy | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
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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.