MITCHELL BOEHNKE (NPI# 1821416769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821416769 |
| Entity Type | Individual |
| Full Name | MITCHELL BOEHNKE |
| Credential | MD |
| Practice Address |
4090 Briargate Pkwy Colorado Springs CO 80920-7815 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7207771234 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
DR.0064302 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
4090 BRIARGATE PKWY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326098443 | Daniel R Balch | Anesthesiology | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2006-05-11 |
| 1558975284 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2020-09-01 |
| 1609495415 | Ashley Novotny | Registered Nurse | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2020-04-11 |
| 1316571201 | Mallory Valverde | Social Worker | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2020-02-28 |
| 1396304705 | Laura Rosenhahn | Registered Nurse | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2019-06-10 |
| 1699258178 | Katherine Wesley | Psychologist | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2018-09-11 |
| 1346744083 | University Physicians Incorporated | Pediatrics | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2018-03-19 |
| 1366999500 | Kristen J Padgett | Nurse Practitioner | 4090 Briargate Pkwy, Colorado Springs, CO 80920 | 2016-09-06 |
| 1730524034 | William Bradley Barton | Anesthesiology | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2013-05-01 |
| 1164715108 | Eric Ryan Marable | Anesthesiology | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730317850 | Christine Kassis | Radiology | 1746 Cole Blvd 150, Lakewood, CO 80401-3267 | 2009-06-26 |
| 1770765992 | Rmchs Management Services | Radiology | The Children's Hospital Radiology Professionals, Dept. 2065, Denver, CO 80291-2056 | 2007-11-29 |
| 1790868156 | Melanie B Levin | Radiology | 13123 E 16th Ave # 125, Aurora, CO 80045-7106 | 2006-10-21 |
| 1720429970 | Jeffrey John Tutman | Radiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-07-16 |
| 1356630800 | Jacquelyn Rae Smith | Radiology | 1746 Cole Blvd Ste 150, Lakewood, CO 80401 | 2011-04-06 |
| 1043517006 | Nathan Craig Mullins | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2011-02-26 |
| 1326359738 | Christina Jayne White | Radiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-06-30 |
| 1083931455 | David M Mirsky | Radiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-04-26 |
| 1194056002 | Kimberly A. Dannull | Radiology | 13123 E 16th Ave # 125, Aurora, CO 80045-7106 | 2010-01-18 |
| 1780918276 | Ernesto Ignacio Blanco | Radiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-09-30 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.