ANGELA KATHRYN BOHLKE (NPI# 1649453390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649453390 |
| Entity Type | Individual |
| Full Name | ANGELA KATHRYN BOHLKE |
| Credential | M.D. |
| Practice Address |
1793 13th St Se Salem OR 97302-2541 |
| Practice Telephone | 5033628385 |
| Practice Fax Number | 5033628435 |
| Mailing Telephone | 5033628385 |
| Mailing Fax Number | 5033628435 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD153871 | OR | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD.201620 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1793 13TH ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215912712 | Amy Gouley | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2005-12-07 |
| 1689275042 | Lindsay Rae Fry | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2020-11-03 |
| 1265999338 | Brolin Johnson | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2019-02-26 |
| 1023582673 | Anna Delaine Dodd | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2019-01-16 |
| 1225532211 | Lauren Gene Williams | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2018-03-22 |
| 1497270268 | Jennifer Robin Smith | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2017-08-13 |
| 1700311974 | Kelsey Ferrell | Dermatology | 1793 13th St Se, Salem, OR 97302 | 2017-04-25 |
| 1972048700 | Elizabeth Schmidt | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2017-01-03 |
| 1720436397 | Allison Stoecker | Dermatology | 1793 13th St Se, Salem, OR 97302-2541 | 2016-05-24 |
| 1346610201 | Charity Capuras | Nurse Practitioner | 1793 13th St Se, Salem, OR 97302-2541 | 2015-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942513924 | Gabriel P Currie | Dermatology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2010-07-20 |
| 1245554211 | Alison B Carrigg | Dermatology | 685 Evergreen Rd, Woodburn, OR 97071 | 2010-03-19 |
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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.