CAROL A BOELTER (NPI# 1417964222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417964222 |
| Entity Type | Individual |
| Full Name | CAROL A BOELTER |
| Other Name | CAROL A WILSON |
| Credential | MD |
| Practice Address |
2200 S 40th St Ste 104 Lincoln NE 68506-2407 |
| Mailing Address |
7001 A St Ste 200 Lincoln NE 68510-4205 |
| Practice Telephone | 4024836000 |
| Practice Fax Number | 4024836106 |
| Mailing Telephone | 4024210896 |
| Mailing Fax Number | 4024210945 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21489 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | UHC | 01-03334 | 01 |
| NE | MIDLAND'S CHOICE | 24583 | 01 |
| NE | BCBS | 00210 | 01 |
| Street Address |
2200 S 40TH ST STE 104 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447438353 | Angela K Moran Manzitto | Physician Assistant | 2200 S 40th St, Suite 104, Lincoln, NE 68506-2425 | 2008-02-01 |
| 1093930133 | Boshra Mohammed Rida | Family Medicine | 2200 S 40th St, Suite 104, Lincoln, NE 68506-2425 | 2007-04-16 |
| 1679623516 | The Physician Network | Durable Medical Equipment & Medical Supplies | 2200 S 40th St, Suite 101, Lincoln, NE 68506-2424 | 2007-01-11 |
| 1679581227 | Susan L Johnson | Family Medicine | 2200 S 40th St, Ste 104, Lincoln, NE 68506-2407 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1356812788 | Holy Family Medical Associates, LLC | Family Medicine | 7121 Stephanie Ln Ste 105, Lincoln, NE 68516-5324 | 2018-12-11 |
| 1295217735 | Angela Zavala | Family Medicine | 4130 Pioneer Woods Dr Ste 2, Lincoln, NE 68506-7552 | 2018-08-31 |
| 1477043800 | Kyle Thomas Gibbens | Family Medicine | 4600 Valley Rd Ste 210, Lincoln, NE 68510-4892 | 2018-05-10 |
| 1821513722 | Good Faith Family Medicine, LLC | Family Medicine | 8055 O Street Suite 100, Lincoln, NE 68510 | 2017-08-11 |
| 1023531936 | Doctors of Women, LLC | Family Medicine | 8055 O St Ste 100, Lincoln, NE 68510-2575 | 2017-07-23 |
| 1881049526 | Family Health & Wellness Center, P.C. | Family Medicine | 2900 S 70th St Ste 310, Lincoln, NE 68506-3690 | 2016-05-02 |
| 1114397254 | Primarycare Housecalls PC | Family Medicine | 5601 S 59th St, Lincoln, NE 68516-2306 | 2015-10-01 |
| 1639584436 | Martha Miller | Family Medicine | 1020 Daniel Dr, Lincoln, CA 95648-8539 | 2014-07-01 |
| Find all providers in LINCOLN | ||||
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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.