Kimberly D Bohlmann (NPI# 1396717104, PAC ID# 9032186036) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1396717104 |
| PAC ID by PECOS | 9032186036 |
| Professional Enrollment ID | I20060818000019 |
| Full Name | Kimberly D Bohlmann |
| Organization Legal Name | PCRMC MEDICAL GROUP, INC |
| Address |
1000 Gw Ln Waynesville MO 65583-2339 |
| Phone Number | 5737742715 |
| Gender | F |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1557454063 |
| Number of Group Practice Members | 78 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260017 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| 260047 | CAPITAL REGION MEDICAL CENTER |
| 261318 | SALEM MEMORIAL DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Gw Ln, Waynesville, MO 65583-2339 | 5737742715 | PCRMC MEDICAL GROUP, INC |
| Organization Legal Name | PCRMC MEDICAL GROUP, INC |
| Physicians | 113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Amos Leon Becerril | Urology | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
| Rachel Ann Feeler | Nurse Practitioner | Pcrmc Medical Group, Inc | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 |
| Lisa L Smith | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Amy E Torres | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| Jinna M Lisenbe | Nurse Practitioner | Pcrmc Medical Group, Inc | 1060 W 10th St, Delbert Day Cancer Inst, Rolla, MO 65401-2905 |
| Bohdan A Lebedowicz | Internal Medicine | Pcrmc Medical Group, Inc | 1800 White Columns Dr, Rolla Manor Care, Rolla, MO 65401-2044 |
| Randee J Feco | Psychologist, Clinical | Pcrmc Medical Group, Inc | 575 Blues Lake Pkwy B, Rolla, MO 65401-8587 |
| Alan D Heincker | Orthopedic Surgery | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
| Miriam L Stricklan | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
| Steven R Ballard | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
| Street Address |
1000 GW LN |
| City | WAYNESVILLE |
| State | MO |
| Zip | 65583-2339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Smith | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Sammy L Radcliff | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha L Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
| Shane R Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
| Amanda F Brumley | Clinical Social Worker | Benton Street Counseling LLC | 119 N Benton St, Waynesville, MO 65583-2501 |
| Jerry W Brown | Optometry | 1390 State Route F, Waynesville, MO 65583-2827 | |
| Ma Teresa Sison Enciso | Physical Therapy | Ma Teresa Sison Enciso Pt PC Corp | 124 Ichord Ave, Waynesville, MO 65583-5406 |
| City | WAYNESVILLE |
| Zip Code | 65583 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WAYNESVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kimberly D Bohlmann.
| 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.