NICOLE SUZANNE BOERSMA


Address: 718 N Lincoln St, Greensburg, IN 47240-1348
Phone: 8126620588

NICOLE SUZANNE BOERSMA (NPI# 1598981391) 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) 1598981391
Entity Type Individual
Full Name NICOLE SUZANNE BOERSMA
Credential MD
Practice Address 718 N Lincoln St
Greensburg
IN 47240-1348
Practice Telephone 8126620588
Practice Fax Number 8126631155
Mailing Telephone 8126620588
Mailing Fax Number 8126631155
Enumeration Date 2007-04-18
Last Update Date 2016-03-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 01062609A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200889340 05
IN RAILROAD MEDICARE P01447581 01

Office Location

Street Address 718 N LINCOLN ST
City GREENSBURG
State IN
Zip Code 47240-1348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336133099 Tracy Lea Ingram Nurse Practitioner 718 N Lincoln St, Greensburg, IN 47240-1348 2005-09-08
1740655299 Decatur County Memorial Hospital Clinic/Center 718 N Lincoln St, Ste A, Greensburg, IN 47240-1348 2015-12-09
1467895524 Andy Tran Family Medicine 718 N Lincoln St, Greensburg, IN 47240-1348 2013-04-09
1346556164 Natasha Catherine Struewing Nurse Practitioner 718 N Lincoln St, Greensburg, IN 47240-1348 2010-08-31
1730343195 Duncan Hamilton Surgery 718 N Lincoln St, Greensburg, IN 47240-1348 2008-07-15
1336258581 Jeffrey A. Hatcher, Md, PC Obstetrics & Gynecology 718 N Lincoln St, Suite #c, Greensburg, IN 47240-1348 2006-08-30
1710909866 Naveed A Fazlani Internal Medicine 718 N Lincoln St, Greensburg, IN 47240-1348 2006-07-24
1942248570 Cody L. Wagner Family Medicine 718 N Lincoln St, Greensburg, IN 47240-1348 2006-06-04
1437106390 Jami Beth Rayles Family Medicine 718 N Lincoln St, Greensburg, IN 47240-1348 2006-05-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710596135 Daniel Joseph Jennings Physician Assistant 545 Nw Santee Drive, Greensbrug, IN 47240 2020-07-31
1245694413 Accudoc Inc PC Family Medicine 2311 N St Rd 3, Greensburg, IN 47240 2016-04-13
1679848832 Kati Rose Huffman Physical Therapy Assistant 950 North Lakeview Drive, Greensburg, IN 47240 2012-03-20
1588931786 Tracy Springmeyer Pharmacist 2215 North State Road 3, Greensburg, IN 47240 2011-11-17
1720360175 Callie Tamm Pharmacist 2215 North State Road Three, Greensburg, IN 47240 2011-09-12
1447457742 Total Renal Care Inc Clinic/Center 1531 N Commerce East Dr Ste 6, Greensburg, IN 47240 2007-06-29
1508084237 Johanna Dawn Painter Speech-Language Pathologist 7782 W. State Rd 46, Greensburg, IN 47240 2007-04-20
1083759617 Kederick A Meyers Family Medicine 955 N Michigan Avenue, Greensburg, IN 47240 2007-02-21
1275615213 David Charles Harp Chiropractor 1570 Commerce Dr West, Suite 3, Greensburg, IN 47240 2006-10-19
1750475604 Carrie Ann Schlotter Optometrist 1204 N Lincoln St, Greensburg, IN 47240 2006-10-03
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760602064 Nghia Van Tran General Practice 355 Harvey Ave, Greensburg, PA 15601-1911 2007-04-27
1831431030 Great Plains of Kiowa Co Inc General Practice 721 W Kansas Ave, Greensburg, KS 67054-1633 2013-03-26
1619193505 Decatur County Memorial Hospital General Practice 720 N Lincoln St, Greensburg, IN 47240-1327 2007-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083235188 Bonzer Medical, LLC General Practice 4423 S County Road 125 E, Greencastle, IN 46135-9237 2020-04-29
1851911945 Regen 360 Indy LLC General Practice 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 2020-04-20
1053946293 Youhealth, Inc. General Practice 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 2020-03-09
1194359240 Mh Nursing of Indiana, PC General Practice 10090 Georgia St, Crown Point, IN 46307-6526 2020-02-27
1871130815 Michael Staub General Practice 3263 S 3rd Pl, Terre Haute, IN 47802-3765 2019-12-10
1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1871074732 Healthy Schools Indiana LLC General Practice 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 2018-08-28
1518445089 Allied Wellness Group General Practice 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 2018-08-06
1114405008 People Nurturing People, Inc General Practice 3640 Watson Rd, Indianapolis, IN 46205-3562 2018-08-01
1215433420 Sean Andrew Koerner General Practice 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 2018-04-05
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Competitor

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City GREENSBURG
Zip Code 47240

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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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