WILLIAM BOEHM (NPI# 1346213519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346213519 |
| Entity Type | Individual |
| Full Name | WILLIAM BOEHM |
| Credential | M.D. |
| Practice Address |
N14w23900 Stone Ridge Dr Prohealth Care Medical Associates Inc. Waukesha WI 53188-1135 |
| Practice Telephone | 2625493030 |
| Mailing Telephone | 2625493030 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 33446 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32015300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770730293 | William Paul Boehm | Psychologist | 4199 Campus Drive, Suite 550, Irvine, CA 92612 | 2008-08-27 |
| 1588670293 | William Boehm | Emergency Medicine | 4th Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1144272683 | William Scot Boehm | Nurse Anesthetist, Certified Registered | 2105 East South Blvd, Montgomery, AL 36116 | 2006-05-16 |
| Street Address |
N14W23900 STONE RIDGE DR PROHEALTH CARE MEDICAL ASSOCIATES INC. |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704159 | Health Center Pharmacy of Menomonee Falls | Pharmacy | N14w23900 Stone Ridge Dr, Waukesha, WI 53188-1135 | 2005-07-19 |
| 1902985013 | Jamey Jill Jick | Internal Medicine | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 | 2006-11-02 |
| 1265516645 | Laura L Radke | Internal Medicine | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 | 2006-10-24 |
| 1144271925 | Amandeep S Gill | Internal Medicine | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-05-15 |
| 1346206562 | Amy Weaver | Optometrist | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 | 2006-04-25 |
| 1437115847 | Diane Keyes | Nurse Practitioner | N14w23900 Stone Ridge Dr, Waukesha, WI 53188-1135 | 2006-04-25 |
| 1508828328 | Catherine Bril | Physician Assistant | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc, Waukesha, WI 53188-1135 | 2006-04-05 |
| 1710947064 | Jean Bagin | Nurse Practitioner | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-03-23 |
| 1881661445 | Tracy R. Coulter | Podiatrist | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-03-02 |
| 1851367072 | Jennifer Vipond | Pediatrics | N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952541849 | Keshni Lata Ramnanan | Internal Medicine | 2428 N Grandview Blvd, Waukesha, WI 53188-6906 | 2009-03-04 |
| 1841344231 | Greg L Brown | Internal Medicine | 2607 N. Grandview Blvd, Ste 150, Waukesha, WI 53188 | 2007-01-22 |
| 1144305905 | Ryan D. Blenker | Internal Medicine | 725 American Ave. Room 2036, Phc Hospitalist Program, Waukesha, WI 53188-5031 | 2006-10-27 |
| 1396792255 | Timothy Gerard Mcavoy | Internal Medicine | 1751 E Main St, Waukesha, WI 53186-3940 | 2006-05-27 |
| 1093775090 | Harry B. Hostetler | Internal Medicine | 1625 Coldwater Creek Dr, Waukesha, WI 53188-8028 | 2006-03-24 |
| 1033188446 | John T. Fish IIi | Internal Medicine | N9w29326 Thames Rd, Waukesha, WI 53188-9473 | 2006-03-16 |
| 1942274055 | Debra Muggler | Internal Medicine | N16w24131 Riverwood Dr, Pewaukee Clinic, Waukesha, WI 53188-1106 | 2006-02-15 |
| 1174596811 | Mary Conti Swiontoniowski | Internal Medicine | 725 American Avenue, Room 2036, Waukesha, WI 53188 | 2006-02-13 |
| 1104899798 | John R. Zandt | Internal Medicine | Waukesha Memorial Hospital-hospitalist Program, 725 American Avenue Room 2036, Waukesha, WI 53188 | 2006-02-13 |
| 1326011701 | Melissa A Kalt | Internal Medicine | 2315 E Moreland Blvd, Waukesha, WI 53186-2909 | 2006-02-08 |
| Find all providers in WAUKESHA | ||||
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| 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.