David C Boharski (NPI# 1740283456, PAC ID# 2163479080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1740283456 |
| PAC ID by PECOS | 2163479080 |
| Professional Enrollment ID | I20090721000402 |
| Full Name | David C Boharski |
| Organization Legal Name | ST. JOHN'S LUTHERAN HOSPITAL INC |
| Address |
209 Health Park Dr Libby MT 59923-2001 |
| Phone Number | 4062837000 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 1557255676 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271323 | CLARK FORK VALLEY HOSPITAL |
| 271320 | CABINET PEAKS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 209 Health Park Dr, Libby, MT 59923-2001 | 4062837000 | ST. JOHN'S LUTHERAN HOSPITAL INC |
| Organization Legal Name | ST. JOHN'S LUTHERAN HOSPITAL INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Reinmiller | Physical Therapy | St. John's Lutheran Hospital Inc | 1029 Mt Hwy 200, Noxon, MT 59853-9746 |
| Robin K Trull | Physician Assistant | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Riki L Thompson | Nurse Practitioner | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Daniel Paul Woydick | Family Medicine | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Sara H Mertes | Family Medicine | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Michelle Lynn Boltz | Nurse Practitioner | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Debra Lynn Sharp | Certified Registered Nurse Anesthetist (crna) | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Angela J Patten | Physical Therapy | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Lance L Ercanbrack | General Surgery | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Brian J Bell | Obstetrics/gynecology | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Street Address |
209 HEALTH PARK DR |
| City | LIBBY |
| State | MT |
| Zip | 59923-2001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin K Trull | Physician Assistant | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Riki L Thompson | Nurse Practitioner | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Daniel Paul Woydick | Family Medicine | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Sara H Mertes | Family Medicine | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Michelle Lynn Boltz | Nurse Practitioner | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Debra Lynn Sharp | Certified Registered Nurse Anesthetist (crna) | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Angela J Patten | Physical Therapy | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Lance L Ercanbrack | General Surgery | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Brian J Bell | Obstetrics/gynecology | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Glenne S Gunther | Family Medicine | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda M Jensen | Clinical Social Worker | Western Montana Mental Health Center | 34169 Hwy 2, Libby, MT 59923 |
| David L Neumann | Podiatry | 604 California Ave, Libby, MT 59923-1902 | |
| Terry C Patrick | Optometry | 610 California Ave, Libby, MT 59923-1902 | |
| Randy L Guinard | Clinical Social Worker | 811 California Ave, Libby, MT 59923-1905 | |
| Charles Brad Black | Family Medicine | Center for Asbetos Related Disease | 214 E 3rd St, Libby, MT 59923-2001 |
| Miles D Miller | Physician Assistant | Center for Asbetos Related Disease | 214 E 3rd St, Libby, MT 59923-2001 |
| Marilyn F. Grams | Internal Medicine | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Lori Benson | Physical Therapy | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Georgianna S Coon | Nurse Practitioner | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Laura L Wharton | Nurse Practitioner | St. John's Lutheran Hospital Inc | 209 Health Park Dr, Libby, MT 59923-2001 |
| Find all physicians in zip 59923 | |||
| City | LIBBY |
| Zip Code | 59923 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | LIBBY + CERTIFIED REGISTERED NURSE ANESTHETIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.