PAMELA ELIZABETH MOOREN-BOESHAAR


Address: 3070 N 51st St, 6th Floor, Milwaukee, WI 53210-1645
Phone: 4144456520

PAMELA ELIZABETH MOOREN-BOESHAAR (NPI# 1679715148) 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) 1679715148
Entity Type Individual
Full Name PAMELA ELIZABETH MOOREN-BOESHAAR
Credential M.D.
Practice Address 3070 N 51st St
6th Floor
Milwaukee
WI 53210-1645
Practice Telephone 4144456520
Practice Fax Number 4144456875
Mailing Telephone 4144456520
Mailing Fax Number 4144456875
Enumeration Date 2009-03-30
Last Update Date 2013-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 55554-020 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 3070 N 51ST ST
6TH FLOOR
City MILWAUKEE
State WI
Zip Code 53210-1645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144214388 Richard A Steliga Md Sc Surgery 3070 N 51st St, Ste 405, Milwaukee, WI 53210-1661 2005-09-02
1457853731 Sarah Mcandrew Md LLC Pediatrics 3070 N 51st St, P309, Milwaukee, WI 53210-1645 2018-03-02
1316448814 Marta V Thakkar, Md,sc Pediatrics 3070 N 51st St, P309, Milwaukee, WI 53210-1645 2018-02-21
1568962918 Janissa Muller Md LLC Pediatrics 3070 N 51st St, P309, Milwaukee, WI 53210-1645 2018-02-12
1831642388 Yorbalica Martin-thomas Registered Nurse 3070 N 51st St, 6th Floor, Milwaukee, WI 53210-1645 2016-08-02
1659660017 Elizabeth M Vanasten Nurse Practitioner 3070 N 51st St, Suite 601, Milwaukee, WI 53210-1645 2011-04-06
1871814293 Paula Banser Osterhout Pediatrics 3070 N 51st St, #p309, Milwaukee, WI 53210 2010-06-21
1760613327 Amber Ellis Physician Assistant 3070 N 51st St, Suite 606, Milwaukee, WI 53210-1645 2009-07-30
1528255445 Aurora Advanced Healthcare, Inc. Durable Medical Equipment & Medical Supplies 3070 N 51st St, Milwaukee, WI 53210-1645 2007-09-25
1548468994 Shawn Cory Reese Pediatrics 3070 N 51st St, Suite P309, Milwaukee, WI 53210-1645 2007-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700499514 Mckenzie Lisa Lambeck Non-emergency Medical Transport (VAN) 3016a N 36th St, Milwaukee, WI 53210 2020-08-31
1922572312 Walter's Second Chance of Milwaukee, LLC. In Home Supportive Care 3043 N. 29th Street, Milwaukee, WI 53210 2019-01-18
1407353469 Angie F Caballero Assisted Living Facility 5918 N 62nd Street, Milwaukee, WI 53210 2018-04-06
1689182636 Kimberly Casey Counselor 5325 W.burleigh, Milwaukee, WI 53210 2018-01-11
1336663640 Daron Mosby Counselor 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 2017-07-28
1881117174 Advance Home Care, LLC In Home Supportive Care 6001 W Center St Ste 98ll, Milwaukee, WI 53210 2017-07-19
1285181735 Aurora Family Services Clinic/Center 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 2016-09-01
1447625264 Kimberly Beckham Registered Nurse 3040 N 40th Street, Milwaukee, WI 53210 2015-12-04
1033595319 Wisconsin Lutheran Child & Family Service Inc. Social Worker 207 North Sherman Blvd, Milwaukee, WI 53210 2015-08-10
1346633112 Quiana Davis Licensed Practical Nurse 2478 North 34th Street, Milwaukee, WI 53210 2015-03-18
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730679804 Vicki Milroy Family Medicine 2778 S 35th St Ste 102, Milwaukee, WI 53215-3578 2018-05-15
1376050450 Independent Physicians of Wisconsin, LLC Family Medicine 5233 S 27th St, Milwaukee, WI 53221-3764 2018-01-10
1427565548 Independent Physicians of Wisconsin, LLC Family Medicine 3201 S 16th St Ste 2020, Milwaukee, WI 53215-4532 2018-01-10
1962932970 Mary Kuder Family Medicine 176 N Broadway, Milwaukee, WI 53202-6015 2017-06-13
1386178804 Dane A Olsen Family Medicine 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 2017-04-12
1598296212 Leslie J Rabaut Family Medicine 2801 W Kk River Pkwy Ste 250, Milwaukee, WI 53215-3678 2017-03-23
1871975920 Independent Physicians of Wisconsin, LLC Family Medicine 5434 W Capitol Dr Ste 3, Milwaukee, WI 53216-2298 2015-06-25
1952717928 Mobile Medical Clinic, Inc Family Medicine 2418 W Edgerton Ave, Milwaukee, WI 53221-3412 2014-07-10
1437572831 Pathfinder Medical Group Family Medicine 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 2014-01-22
1376897413 Sandra Kathleen Mahkorn Family Medicine 3050 S Superior St, Milwaukee, WI 53207-3064 2012-10-26
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Competitor

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City MILWAUKEE
Zip Code 53210

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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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