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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
35-05-6573-B | OH | Allopathic & Osteopathic Physicians |
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 |
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 |
Street Address |
424 W WOODRUFF AVE |
City | TOLEDO |
State | OH |
Zip Code | 43604-5027 |
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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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 |
Find all providers in zip 43604 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
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. |
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 |
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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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.