CHADWICK BOBERG (NPI# 1639558711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639558711 |
| Entity Type | Individual |
| Full Name | CHADWICK BOBERG |
| Credential | CNP |
| Practice Address |
205 Palmer Avenue Bellefontaine OH 43311 |
| Practice Telephone | 9375924015 |
| Mailing Telephone | 9375924015 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.273386 | OH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.17410 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
205 PALMER AVENUE |
| City | BELLEFONTAINE |
| State | OH |
| Zip Code | 43311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254931 | Mary Rutan Hospital | General Acute Care Hospital | 205 Palmer Avenue, Bellefontaine, OH 43311-2298 | 2005-08-31 |
| 1164733820 | Nima Malakooti | Emergency Medicine | 205 Palmer Avenue, Bellefontaine, OH 43311-1716 | 2010-06-28 |
| 1700055530 | Jessica Quantz Cullivan | Family Medicine | 205 Palmer Avenue, Bellefontaine, OH 43311 | 2008-02-26 |
| 1285617068 | Robert H Davis | Pathology | 205 Palmer Avenue, Bellefontaine, OH 43311 | 2005-11-25 |
| 1316920309 | The Pathology Center | Pathology | 205 Palmer Avenue, Bellefontaine, OH 43311 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518024181 | Catherine L Seibert | Nurse Practitioner | 212 Irving Ave, Suite D, Bellefontaine, OH 43311-2282 | 2007-01-03 |
| 1508410606 | Angela Dawn Ream | Nurse Practitioner | 205 E Palmer Rd, Bellefontaine, OH 43311-2298 | 2019-07-26 |
| 1972164218 | Leanne Elizabeth Spring | Nurse Practitioner | 212 E Columbus Ave Ste 1, Bellefontaine, OH 43311-2033 | 2019-06-26 |
| 1871057349 | Michelle Lee Kennard | Nurse Practitioner | 205 E Palmer Rd, Bellefontaine, OH 43311 | 2019-01-29 |
| 1316422413 | Dana Nicole Frazier | Nurse Practitioner | 1860 S Main Street, Bellefontaine, OH 43311 | 2018-09-25 |
| 1962914804 | Teri K Murphy | Nurse Practitioner | 1134 N Main St Ste 1100, Bellefontaine, OH 43311 | 2017-11-01 |
| 1992214522 | Devin L Grappy | Nurse Practitioner | 1134 N Main St Ste 1100, Bellefontaine, OH 43311 | 2017-09-26 |
| 1871011544 | Akita Miller-abbey | Nurse Practitioner | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2017-09-01 |
| 1750834222 | Kari K Barrows | Nurse Practitioner | 2231 Timber Trl, Bellefontaine, OH 43311-9036 | 2016-08-01 |
| 1508217589 | Sarah Channell | Nurse Practitioner | 2211 Timber Trl, Bellefontaine, OH 43311-9036 | 2016-06-30 |
| Find all providers in BELLEFONTAINE | ||||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
Please comment or provide details below to improve the information on CHADWICK BOBERG.
| 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.