MINDY M BOEHM (NPI# 1710974381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710974381 |
| Entity Type | Individual |
| Full Name | MINDY M BOEHM |
| Credential | MD |
| Practice Address |
1159 E 12th St Ogden UT 84404-5144 |
| Mailing Address |
Po Box 5546 Denver CO 80217-5546 |
| Practice Telephone | 8014753700 |
| Practice Fax Number | 8014753701 |
| Mailing Telephone | 8014753700 |
| Mailing Fax Number | 8014753701 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2017-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 182068-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1159 E 12TH ST |
| City | OGDEN |
| State | UT |
| Zip Code | 84404-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643011 | Karen S Vastardis | Nurse Practitioner | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-17 |
| 1396734919 | Catherine L Ortega | Physician Assistant | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-17 |
| 1982692000 | Kimberly A Boyer | Physician Assistant | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-12 |
| 1447248596 | Laura A Colvin | Physician Assistant | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-12 |
| 1891782819 | J David Schmitz | Family Medicine | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-04 |
| 1811984800 | David W Nemetz | Family Medicine | 1159 E 12th St, Ogden, UT 84404-5144 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023385069 | William Richard Weeks | Pediatrics | 4011 Beus Dr, Ogden, UT 84403-3207 | 2011-11-18 |
| 1356420574 | Anita E. Brzowski | Pediatrics | 4403 Harrison Blvd Ste 4600, Ogden, UT 84403-3293 | 2006-11-06 |
| 1174575716 | Alexandra Barrera | Pediatrics | 2400 N Washington Blvd, Ogden, UT 84414-7233 | 2006-05-16 |
| 1326002973 | Allyn Patrick Rose | Pediatrics | 5495 S 500 E, Ste 330, Ogden, UT 84405 | 2006-04-12 |
| 1528044369 | Andrew David Simmons | Pediatrics | 5475 South 500 East, Ogden, UT 84405 | 2005-12-22 |
| 1154850477 | Matthew Naegle | Pediatrics | 1159 12th St, Ogden, UT 84404-5144 | 2017-06-08 |
| 1720215478 | Trisha Rafferty | Pediatrics | 4403 Harrison Blvd, Ste 4875, Ogden, UT 84403-3271 | 2009-06-19 |
| 1730322405 | Heath Aaron Cobb | Pediatrics | 4403 Harrison Blvd, Ste 4875, Ogden, UT 84403-3271 | 2009-04-10 |
| 1922259449 | Jessika Wagner | Pediatrics | 4403 Harrison Blvd, Suite 4875, Ogden, UT 84403-3271 | 2008-10-02 |
| 1265694509 | Mountainstar Ogden Pediatrics LLC | Pediatrics | 5495 S 500 E, Suite 120, Ogden, UT 84405-6923 | 2008-06-27 |
| Find all providers in OGDEN | ||||
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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.