Micah D Boehr (NPI# 1134560139, PAC ID# 9739400805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1134560139 |
PAC ID by PECOS | 9739400805 |
Professional Enrollment ID | I20160909001218 |
Full Name | Micah D Boehr |
Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
Address |
1201 N Cummings Ln Washington IL 61571-9267 |
Phone Number | 3094442090 |
Gender | M |
Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
Graduation Year | 2013 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8729992318 |
Number of Group Practice Members | 956 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
140013 | PROCTOR HOSPITAL |
140067 | OSF SAINT FRANCIS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1201 N Cummings Ln, Washington, IL 61571-9267 | 3094442090 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
Physicians | 930 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
Street Address |
1201 N CUMMINGS LN |
City | WASHINGTON |
State | IL |
Zip | 61571-9267 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill Wirth Rissman | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1201 N Cummings Ln, Washington, IL 61571-9267 |
Michael A Miller | Internal Medicine | Methodist Medical Center of Illinois | 1201 N Cummings Ln, Washington, IL 61571-9267 |
Stephanie Rinehart | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 1201 N Cummings Ln, Washington, IL 61571-9267 |
Michael K Lane | Physical Therapy | Professional Therapy Services Inc | 1201 N Cummings Ln, Washington, IL 61571-9267 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian D Frank | Chiropractic | 2362 Washington Rd, Washington, IL 61571-1855 | |
T Dane Shelley | Optometry | Jak Enterprises Inc | 8 Cherry Tree Shopping Ctr, Washington, IL 61571-2170 |
Glen Jay Sidler | Internal Medicine | 201 N Cummings Lane, Washington, IL 61571-2181 | |
Dean L Anderson | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
Lauren Johanna Cowherd | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
Lee T. Kinsinger | Family Medicine | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
Stacey Herring | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
Todd E Funk | Optometry | 100 Hillcrest Dr, Suite B, Washington, IL 61571-2227 | |
Jennifer E Boehs | Clinical Social Worker | Balanced | 100 Hillcrest Dr, Suite E, Washington, IL 61571-2227 |
Jennifer M Zeck | Clinical Social Worker | Balanced | 100 Hillcrest Dr, Suite E, Washington, IL 61571-2227 |
Find all physicians in zip 61571 |
City | WASHINGTON |
Zip Code | 61571 |
Specialty | FAMILY MEDICINE |
City + Specialty | WASHINGTON + FAMILY MEDICINE |
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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.