BEVERLY J BOHAC (NPI# 1477599074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477599074 |
| Entity Type | Individual |
| Full Name | BEVERLY J BOHAC |
| Credential | MD |
| Practice Address |
707 Ash Street Spooner WI 54801-1903 |
| Mailing Address |
Po Box 19070 Green Bay WI 54307-9070 |
| Practice Telephone | 7156352151 |
| Practice Fax Number | 7158395176 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25128 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30518600 | 05 |
| Street Address |
707 ASH STREET |
| City | SPOONER |
| State | WI |
| Zip Code | 54801-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033198957 | Robert Peterson | Physician Assistant | 707 Ash Street, Spooner, WI 54801 | 2006-01-10 |
| 1851503635 | Jeffrey Edwin Eichten | Family Medicine | 707 Ash Street, Duluth Clinic-spooner, Spooner, WI 54801 | 2007-05-04 |
| 1922062785 | Brian W Gaskill | Family Medicine | 707 Ash Street, Spooner, WI 54801 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766974 | Joan M Ruch | Registered Nurse | 702 Front Street, Spooner, WI 54801 | 2015-12-17 |
| 1013266394 | Erik Lee Larson | Physical Therapist | 314 Service Rd, Spooner, WI 54801 | 2012-09-03 |
| 1912102484 | Betsy J Salquist | Speech-Language Pathologist | N5653 Ironwood Dr, Spooner, WI 54801 | 2007-06-15 |
| 1184759201 | Jo Ann E Pomerleau | Counselor | N4851 Hwy 63 South, Spooner, WI 54801 | 2007-02-22 |
| 1881752921 | Wendy J Prigge | Counselor | 410 N River St, Aurora Comm Counseling Employee Support & Services Dba, Spooner, WI 54801 | 2006-12-04 |
| 1881767754 | Strickland Chiropractic Sc | Chiropractor | 211 E Linn St, Spooner, WI 54801 | 2006-11-16 |
| 1093888455 | Vernon Edward Andersen | Chiropractor | 780 Lafollette St, Spooner, WI 54801 | 2006-11-15 |
| 1558445064 | Dellin Richard Bakkum | Dentist | W7154 Green Valley Road, Spooner, WI 54801 | 2006-10-24 |
| 1861574543 | Lyle L Lauritsen | Chiropractor | 214 Spruce St, Spooner, WI 54801 | 2006-10-20 |
| 1720169675 | Steven Leslie Schreiber | Counselor | N4851 Highway 63 South, Spooner, WI 54801 | 2006-10-18 |
| Find all providers in zip 54801 | ||||
| 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 |
|---|---|---|---|---|
| 1932380003 | Helen Anne Kuehlman | Family Medicine | 1180 Chandler Drive, Essentia Health Spooner Clinic, Spooner, WI 54801-2204 | 2007-11-17 |
| 1396776589 | Roger A Handtke | Family Medicine | Essentia Health Spooner Clinic, 1180 Chandler Drive, Spooner, WI 54801 | 2006-07-05 |
| 1871562058 | Kristen M Dall-winther | Family Medicine | 1180 Chandler Dr, Spooner, WI 54801-2204 | 2006-03-17 |
| 1063486983 | Patrick J Mccann | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2006-02-15 |
| 1417481417 | Laura Murphy | Family Medicine | 1180 Chandler Dr, Spooner, WI 54801-2204 | 2017-04-17 |
| 1851503635 | Jeffrey Edwin Eichten | Family Medicine | 707 Ash Street, Duluth Clinic-spooner, Spooner, WI 54801 | 2007-05-04 |
| 1528181245 | Stephen John Carlson | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2007-04-09 |
| 1154458537 | Bruce Edward Bray | Family Medicine | 707 Ash St, Spooner, WI 54801-1234 | 2007-02-27 |
| 1255448692 | Charles E Nelson | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2006-08-23 |
| 1811939135 | Laura Lynne Boehlke-bray | Family Medicine | 1180 Chandler Dr, Spooner, WI 54801-2204 | 2006-06-12 |
| Find all providers in SPOONER | ||||
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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.