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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 01062609A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200889340 | 05 | |
IN | RAILROAD MEDICARE | P01447581 | 01 |
Street Address |
718 N LINCOLN ST |
City | GREENSBURG |
State | IN |
Zip Code | 47240-1348 |
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 |
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 |
Find all providers in zip 47240 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1619193505 | Decatur County Memorial Hospital | General Practice | 720 N Lincoln St, Greensburg, IN 47240-1327 | 2007-04-18 |
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Find all providers with the same taxonomy |
City | GREENSBURG |
Zip Code | 47240 |
Please comment or provide details below to improve the information on NICOLE SUZANNE BOERSMA.
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.