LUCAS BOEHM (NPI# 1104288430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104288430 |
| Entity Type | Individual |
| Full Name | LUCAS BOEHM |
| Credential | M.D. |
| Practice Address |
8700 W Watertown Plank Rd Department of Plastic Surgery Wauwatosa WI 53226-3595 |
| Practice Telephone | 4148051000 |
| Mailing Telephone | 4148051000 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 68458-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
8700 W WATERTOWN PLANK RD DEPARTMENT OF PLASTIC SURGERY |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879115 | Zachary John Manthe | Physical Therapist | 8700 W Watertown Plank Rd, Wauwatosa, WI 53226-3595 | 2020-10-25 |
| 1649896846 | Allyson Stone | Specialist/Technologist | 8700 W Watertown Plank Rd, Wauwatosa, WI 53226-3595 | 2020-06-23 |
| 1669010963 | Mark Lydecker | Physical Therapist | 8700 W Watertown Plank Rd, Wauwatosa, WI 53226-3595 | 2019-12-17 |
| 1245701788 | Emily Paul | Specialist/Technologist | 8700 W Watertown Plank Rd, Wauwatosa, WI 53226-3595 | 2018-12-10 |
| 1669943114 | Michael Klaver | Specialist/Technologist | 8700 W Watertown Plank Rd, Wauwatosa, WI 53226-3595 | 2018-12-10 |
| 1356622187 | Hannah Koraly | Specialist/Technologist | 8700 W Watertown Plank Rd, Wauwatosa, WI 53226-3595 | 2011-09-07 |
| 1508185596 | David C Thao | Dentist | 8700 W Watertown Plank Rd, Wauwatosa, WI 53226-3595 | 2010-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114198660 | Ruedi Peter Gingrass | Plastic Surgery | 7130 Wellauer Dr, Wauwatosa, WI 53213-3767 | 2008-03-12 |
| 1841266590 | Harvey Michael Bock | Plastic Surgery | 201 N Mayfair Rd, Suite 530, Wauwatosa, WI 53226-4216 | 2006-02-23 |
| 1851367585 | Kenneth Dell Dembny II | Plastic Surgery | 201 N Mayfair Rd, Suite 530, Wauwatosa, WI 53226-4216 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1508122938 | Stephanie Suprenant | Plastic Surgery | Uw Hospital and Clinics 600 Highland Ave, H4/831, Madison, WI 53792-0001 | 2012-04-10 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| 1669695284 | Fox Valley Plastic Surgery, S.c. | Plastic Surgery | 2400 Witzel Ave, Suite A, Oshkosh, WI 54904-8369 | 2007-04-11 |
| 1528105897 | Alex Colque | Plastic Surgery | 21675 E. Moreland Blvd., Suite 100, Waukesha, WI 53186-2906 | 2007-01-30 |
| 1447313747 | Kevin M. Robertson | Plastic Surgery | 3205 Glacier Ridge Rd, Middleton, WI 53562-1765 | 2006-12-18 |
| 1568532521 | Maida Ann Parkins | Plastic Surgery | W307 N1497 Golf Rd, Suite 200, Delafield, WI 53018 | 2006-11-08 |
| 1720183130 | Michelle R Bonness | Plastic Surgery | 20320 W Greenfield Ave, Brookfield, WI 53045-3737 | 2006-09-13 |
| 1831116797 | Steven C Schmidt | Plastic Surgery | 2605 Development Dr, Green Bay, WI 54311-4240 | 2006-07-16 |
| 1154375996 | Roger C Mixter | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LUCAS BOEHM.
| 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.