MICHAEL J BOJRAB (NPI# 1154777613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154777613 |
| Entity Type | Individual |
| Full Name | MICHAEL J BOJRAB |
| Credential | M.D. |
| Practice Address |
6720 Kirkdale Dr Fort Wayne IN 46815-5524 |
| Practice Telephone | 2604141409 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 301189-01 | NY | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 01081130A | IN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 35.132534 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300020025 | 05 |
| Street Address |
6720 KIRKDALE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073939450 | Whitney Miller | Emergency Medicine | 10343 Dawsons Creek Blvd Ste A, Fort Wayne, IN 46825 | 2014-03-10 |
| 1538401732 | Nicholas Salvatore Costanza | Emergency Medicine | 4225 Frost Grass Dr, Henry Ford Macomb Hospitals, Fort Wayne, IN 46845-8010 | 2013-03-26 |
| 1235459603 | Sheila K Pittenger | Emergency Medicine | 3684 New Vision Drive, Fort Wayne, IN 46845 | 2010-06-08 |
| 1881808012 | Roderick G Morrison | Emergency Medicine | 11109 Parkview Plaza Drive, Fort Wayne, IN 46845-1701 | 2007-05-09 |
| 1902982796 | Walter Osborne Jackson | Emergency Medicine | 10329 Greenoak Blvd, Fort Wayne, IN 46814-9546 | 2006-10-27 |
| 1255416947 | Kamlesh Patel | Emergency Medicine | 1638 Carroll Rd, Fort Wayne, IN 46845-9373 | 2006-10-25 |
| 1245259944 | Stephen Mcconnell | Emergency Medicine | 2825 Barry Knoll Way, Fort Wayne, IN 46845-1944 | 2006-07-19 |
| 1326067000 | Dennis Dale Mansfield | Emergency Medicine | 7950 W Jefferson Blvd Ste 2121, Fort Wayne, IN 46804-4140 | 2006-07-19 |
| 1588683122 | Aiman Hassan | Emergency Medicine | 6036 Trier Rd, Fort Wayne, IN 46815-5337 | 2006-07-18 |
| 1245285600 | Courtney E Poswinski | Emergency Medicine | 3640 New Vision Drive, Suite A, Fort Wayne, IN 46845-1717 | 2006-05-24 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
Please comment or provide details below to improve the information on MICHAEL J BOJRAB.
| 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.