Mark A Boettler (NPI# 1124052212, PAC ID# 4284717174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124052212 |
| PAC ID by PECOS | 4284717174 |
| Professional Enrollment ID | I20080215000326 |
| Full Name | Mark A Boettler |
| Address |
1237 N Monroe Dr Suite 202 Xenia OH 45385-1654 |
| Phone Number | 9373721254 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360026 | GREENE MEMORIAL HOSPITAL |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 3095 Kettering Blvd, Moraine, OH 45439-1983 | 9375311973 | SOUTH COMMUNITY PRIMARY CARE INC |
| 1237 N Monroe Dr, Suite 202, Xenia, OH 45385-1654 | 9373721254 |
| Street Address |
1237 N MONROE DR SUITE 202 |
| City | XENIA |
| State | OH |
| Zip | 45385-1654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Taylor | Chiropractic | 1237 N Monroe Dr, Suite 102, Xenia, OH 45385-1654 | |
| Sandra Fox | Podiatry | 1237 N Monroe Dr, Suite 201, Xenia, OH 45385-1654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hidetaka Kitazono | Hospitalist | South Dayton Acute Care Consultants, Inc | 1141 N Monroe Dr, Greene Memorial Hospital, Xenia, OH 45385-1600 |
| Wayne C Woodard | Orthopedic Surgery | Alliance Physicians Inc | 1141 N Monroe Dr, Xenia, OH 45385-1619 |
| Bryan K Hudson | Physician Assistant | Alliance Physicians Inc | 1141 N Monroe Dr, Xenia, OH 45385-1619 |
| Elizabeth C Sanchez | Physician Assistant | Alliance Physicians Inc | 1141 N Monroe Dr, Xenia, OH 45385-1619 |
| Justin R Moore | Critical Care (intensivists) | Alliance Physicians Inc | 1141 N Monroe Dr, Xenia, OH 45385-1619 |
| Mario S Riportella | Physician Assistant | Alliance Physicians Inc | 1141 N Monroe Dr, Xenia, OH 45385-1619 |
| David Carter | Emergency Medicine | Emergency Medicine Specialists Inc | 1141 N Monroe Dr, Xenia, OH 45385-1619 |
| Michael W Good | Emergency Medicine | Emergency Medicine Specialists Inc | 1141 N Monroe Dr, Xenia, OH 45385-1619 |
| Richard K Smith | Emergency Medicine | Emergency Medicine Specialists Inc | 1141 N Monroe Dr, Xenia, OH 45385-1619 |
| Andrew Marc Moore | Physician Assistant | Alliance Physicians Inc | 1141 N Monroe Dr, Xenia, OH 45385-1619 |
| Find all physicians in zip 45385 | |||
| City | XENIA |
| Zip Code | 45385 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | XENIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark A Boettler.
| 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.