DR. KATHRYN ELAINE BOEHM


Address: 424 W Woodruff Ave, Toledo, OH 43604-5027
Phone: 4195096798

DR. KATHRYN ELAINE BOEHM (NPI# 1790788248) 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) 1790788248
Entity Type Individual
Full Name DR. KATHRYN ELAINE BOEHM
Credential MD, MS
Practice Address 424 W Woodruff Ave
Toledo
OH 43604-5027
Mailing Address 2228 Bridlewood Dr
Toledo
OH 43614-1003
Practice Telephone 4195096798
Practice Fax Number 8668880321
Mailing Telephone 4195096798
Mailing Fax Number 8668880321
Enumeration Date 2005-05-27
Last Update Date 2016-06-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
35-05-6573-B OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 2827491-180 05
OH 0744430 05
DEA BB1883443 01
OH LICENSE 35-05-6573-B 01
OH MEDICAID GROUP NUMBER 3159862 01

Other Providers KATHRYN BOEHM

NPI Name Taxonomy Address Enumeration
1184138190 Kathryn Boehm Assistant Behavior Analyst 644 Hamlet Dr, Port Orange, FL 32127-5986 2017-11-29
1346342805 Kathryn S Boehm Physical Therapist 530 Lakehurst Rd, Suite 202 & 204, Toms River, NJ 08755-8063 2006-09-03

Office Location

Street Address 424 W WOODRUFF AVE
City TOLEDO
State OH
Zip Code 43604-5027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609483692 Breann L Russell Counselor 424 W Woodruff Ave, Toledo, OH 43604-5027 2020-09-24
1851906168 Farrah F Routon Case Manager/Care Coordinator 424 W Woodruff Ave, Toledo, OH 43604-5027 2020-09-14
1861004749 Emma Beale Counselor 424 W Woodruff Ave, Toledo, OH 43604-5027 2020-08-20
1457961278 Emily Roemhild Student in an Organized Health Care Education/Training Program 424 W Woodruff Ave, Toledo, OH 43604-5027 2020-08-06
1346850179 Catherine Zoleta Student in an Organized Health Care Education/Training Program 424 W Woodruff Ave, Toledo, OH 43604-5027 2020-08-06
1912521436 Chris Lee Mitchell Case Manager/Care Coordinator 424 W Woodruff Ave, Toledo, OH 43604-5027 2020-06-01
1801422431 Lori Ann Carr Case Manager/Care Coordinator 424 W Woodruff Ave, Toledo, OH 43604-5027 2020-03-16
1215568498 Keith Rufo Student in an Organized Health Care Education/Training Program 424 W Woodruff Ave, Toledo, OH 43604-5027 2020-01-28
1386289015 Gilbert Daniel Seeburger Licensed Practical Nurse 424 W Woodruff Ave, Toledo, OH 43604-5027 2019-11-18
1649811811 Jenna Lynne Switzer Case Manager/Care Coordinator 424 W Woodruff Ave, Toledo, OH 43604-5027 2019-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346879590 Kaushal B Jani Student in an Organized Health Care Education/Training Program Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 2020-04-08
1548807316 Jennifer Marie Bismack Peer Specialist 142 23rd St, Suite 911, Toledo, OH 43604 2019-11-29
1841849064 Keith Allen Vore Student in an Organized Health Care Education/Training Program 1117 Jefferson #214, Toledo, OH 43604 2019-09-10
1740846765 Mohammad Shahrukh Tanweer Student in an Organized Health Care Education/Training Program Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 2019-05-15
1740846229 Sami Al-rahman Syed Student in an Organized Health Care Education/Training Program Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 2019-05-10
1306402870 Poojitha Kolluri Student in an Organized Health Care Education/Training Program 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 2019-05-10
1407375090 Keyana Renee Galloway Social Worker 500 Madison Ave Ste 300, Toledo, OH 43604 2017-09-14
1467979302 Courtney Lorraine Wilson Physical Therapy Assistant 1609 N. Summit St, Toledo, OH 43604 2017-08-22
1811426208 Rosamaria Sanchez Counselor 701 Jefferson Ave Suite 101, Toledo, OH 43604 2017-06-08
1306373014 Salwa Beydoun Social Worker 701 Jefferson, Toledo, OH 43604 2017-05-12
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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/certification
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720281587 Cherilyn Marie Shurtz Pediatrics 7629 Kings Pointe Rd, Toledo, OH 43617-1514 2007-06-08
1992908651 Pediatricare Associates, LLC Pediatrics 3400 Meijer Dr, Toledo, OH 43617-1166 2007-06-08
1467415430 Francis J. Rogalski Pediatrics 7629 Kings Pointe Rd, Toledo, OH 43617-1514 2006-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396264453 Sinem Akgul Pediatrics Livingston Ambulatory Center, 380 Butterfly Gardens Drive, Columbus, OH 43215 2017-09-10
1871890764 Saroj Ajitkumar Pagedar Pediatrics 2317 Brigadoon Ct, Westlake, OH 44145-3024 2011-02-11
1801001078 Ernesto Cabales Bunye Pediatrics 13501 Bennington Blvd, Middleburg Heights, OH 44130-7131 2007-05-11
1295812261 Hanan Nashed Pediatrics 12700 Lake Ave, Suite 705, Lakewood, OH 44107-1576 2006-11-01
1679659890 Julie Smith Fennig Pediatrics 1775 Delco Park Dr, Kettering, OH 45420-1398 2006-10-31
1891881504 Walter R Lucas Pediatrics 17075 Pearl Road, Strongsville, OH 44136 2006-10-04
1548354665 Mary Brigid Chitwood Pediatrics 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 2006-10-03
1033219365 Kevin A. Horvath Pediatrics 1483 West Main Street, Tipp City, OH 45371 2006-09-25
1366544926 Enaas F Kasheer Pediatrics 3966 Brown Park Dr, Suites C & D, Hilliard, OH 43026-1164 2006-09-03
1851306310 Trihealth Q, LLC Pediatrics 3621 Rossgate Ct, Hamilton, OH 45013-9558 2006-07-30
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Competitor

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City TOLEDO
Zip Code 43604

Improve Information

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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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