DR. DOUGLAS L BOERTJE


Address: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035
Phone: 7043772424

DR. DOUGLAS L BOERTJE (NPI# 1558361246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558361246
Entity Type Individual
Full Name DR. DOUGLAS L BOERTJE
Credential MD
Practice Address 501 S Sharon Amity Rd Ste 300
Charlotte
NC 28211-0035
Practice Telephone 7043772424
Practice Fax Number 7043772687
Mailing Telephone 7043772424
Mailing Fax Number 7043772687
Enumeration Date 2005-07-26
Last Update Date 2018-11-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PP0204X Emergency Medicine
Specialization: Pediatric Emergency Medicine
2006-01516 NC Allopathic & Osteopathic Physicians
N 207PP0204X Emergency Medicine
Specialization: Pediatric Emergency Medicine
36257 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 59-05661 05
SC SC MEDICAID N01517 01

Office Location

Street Address 501 S SHARON AMITY RD STE 300
City CHARLOTTE
State NC
Zip Code 28211-0035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568092989 Jillian Marie Rengel Nurse Practitioner 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2020-01-24
1043840721 Johanna Isabelle Rossitch Physician Assistant 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2020-01-22
1952875478 Whitney Kristine Lloyd Nurse Practitioner 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2019-01-17
1902370653 Stephen Logan Groves Physician Assistant 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2019-01-16
1639604390 Kyle Francis Grimaldi Emergency Medicine 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2017-05-01
1558892604 Christopher Allen Gardner Emergency Medicine 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2017-03-21
1194264382 Ross Mckelvey Williams Physician Assistant 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2017-02-21
1194189886 Johanna Elizabeth Kreafle Emergency Medicine 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 2016-04-08
1164884961 Aaron Michael Blackshaw Emergency Medicine 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2016-03-22
1811378516 Caileigh A Skogg Physician Assistant 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2015-06-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184277832 I and J Wheelchair Transportation Non-emergency Medical Transport (VAN) 1512 Delane Avenue, Charlotte, NC 28211 2019-07-22
1922563923 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 2019-02-04
1649798273 Ally Home Care Charlotte LLC In Home Supportive Care 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 2017-09-04
1154866770 Vaibhav Bajaj Dentist 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 2017-01-05
1508254939 Lindsay Marie Smits Speech-Language Pathologist 427 N. Wendover Rd., Charlotte, NC 28211 2015-01-08
1457755480 Kristen Hammer Physical Therapy Assistant 4120 Providence Rd Apt D, Charlotte, NC 28211 2014-10-20
1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
1760726368 Jill Hensdale Shipp Social Worker 307 Hunter Lane, Charlotte, NC 28211 2012-11-20
1346592722 Danielle Marie Benoit Occupational Therapist 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 2012-10-09
1487910832 John Joseph Marcel Jr. Orthopaedic Surgery 449 North Wendover Rd Ste A, Charlotte, NC 28211 2012-04-10
Find all providers in zip 28211

Taxonomy Information

Taxonomy Code 207PP0204X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Pediatric Emergency Medicine

Taxonomy Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619932746 Joanna E York Emergency Medicine 1900 Randolph Road, Suite 900, Charlotte, NC 28207-1117 2006-04-20
1477729556 Lindsey Chaudoin Emergency Medicine 1000 Blythe Blvd, Charlotte, NC 28203-5812 2008-05-07
1093987794 James Robert Young Emergency Medicine 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 2008-04-02
1497804603 Thomas Davis Miller IIi Emergency Medicine 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2007-01-09
1043367915 Cody Garrett Carpenter Emergency Medicine 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2007-01-04
1083651319 John W Ringwood Emergency Medicine 1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1106 2006-06-02
1992759591 Sara H Steelman Emergency Medicine 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2006-05-19
1508815457 Michelle C Capizzi Emergency Medicine 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 2006-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639559883 Lindly Theroux Emergency Medicine 1 Medical Center Blvd, Winston Salem, NC 27157-2038 2015-06-03
1770756157 Timothy M Galey Emergency Medicine Medical Center Blvd, Winston Salem, NC 27157-0001 2008-04-08
1962686089 Ross Jacob Kuhner Emergency Medicine 1200 N Elm St, Greensboro, NC 27401-1004 2007-12-26
1689881625 Chad David Mccalla Emergency Medicine Medical Center Blvd, Winston Salem, NC 27157-0001 2007-05-17
1922154533 Michael S Mitchell Emergency Medicine Medical Center Blvd, Winston Salem, NC 27157-0001 2007-01-26
1861564965 Shad M Baab Emergency Medicine 1200 N Elm St, Greensboro, NC 27401-1004 2006-11-14
1164508297 Edwin B Robins Emergency Medicine 1638 Owen Drive, Fayetteville, NC 28304-3234 2006-10-31
1902881717 Douglas Keith Holtzman Emergency Medicine 101 Manning Dr, Chapel Hill, NC 27514-4220 2005-12-14
1326048760 Donald T Ellis II Emergency Medicine 2100 Erwin Rd, Durham, NC 27710-0001 2005-07-28

Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

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.

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