DR. PETER JAMES BOARDMAN (NPI# 1912950577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912950577 |
| Entity Type | Individual |
| Full Name | DR. PETER JAMES BOARDMAN |
| Credential | M.D. |
| Practice Address |
707 Ash St Spooner WI 54801-1234 |
| Mailing Address |
5418 Pompano Dr Minnetonka MN 55343-9405 |
| Practice Telephone | 7156352170 |
| Mailing Telephone | 9529335858 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | 40995020 | WI | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376500389 | Peter Boardman | Psychiatry & Neurology | 1650 Beam Ave, Suite 200, Maplewood, MN 55109-1192 | 2006-04-26 |
| Street Address |
707 ASH ST |
| City | SPOONER |
| State | WI |
| Zip Code | 54801-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013395748 | Joseph Stromsness | Nurse Practitioner | 707 Ash St, Essentia Health Spooner Clinic, Spooner, WI 54801-1234 | 2015-05-14 |
| 1366842056 | Brianna Stein | Specialist/Technologist | 707 Ash St, Spooner, WI 54801-1234 | 2014-08-29 |
| 1427208677 | Megan M Popp | Physical Medicine & Rehabilitation | 707 Ash St, Essentia Health Spooner Clinic, Spooner, WI 54801-1234 | 2008-09-24 |
| 1154458537 | Bruce Edward Bray | Family Medicine | 707 Ash St, Spooner, WI 54801-1234 | 2007-02-27 |
| 1568480614 | Mark Aeppli Van Etten | Family Medicine | 707 Ash St, Spooner, WI 54801-1234 | 2006-07-17 |
| 1881628196 | Kathleen Ann Olsen | Nurse Practitioner | 707 Ash St, Spooner, WI 54801-1234 | 2006-07-10 |
| 1679514814 | Paul Godwin Goellner | Family Medicine | 707 Ash St, Spooner, WI 54801-1234 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766974 | Joan M Ruch | Registered Nurse | 702 Front Street, Spooner, WI 54801 | 2015-12-17 |
| 1013266394 | Erik Lee Larson | Physical Therapist | 314 Service Rd, Spooner, WI 54801 | 2012-09-03 |
| 1912102484 | Betsy J Salquist | Speech-Language Pathologist | N5653 Ironwood Dr, Spooner, WI 54801 | 2007-06-15 |
| 1184759201 | Jo Ann E Pomerleau | Counselor | N4851 Hwy 63 South, Spooner, WI 54801 | 2007-02-22 |
| 1881752921 | Wendy J Prigge | Counselor | 410 N River St, Aurora Comm Counseling Employee Support & Services Dba, Spooner, WI 54801 | 2006-12-04 |
| 1881767754 | Strickland Chiropractic Sc | Chiropractor | 211 E Linn St, Spooner, WI 54801 | 2006-11-16 |
| 1093888455 | Vernon Edward Andersen | Chiropractor | 780 Lafollette St, Spooner, WI 54801 | 2006-11-15 |
| 1558445064 | Dellin Richard Bakkum | Dentist | W7154 Green Valley Road, Spooner, WI 54801 | 2006-10-24 |
| 1861574543 | Lyle L Lauritsen | Chiropractor | 214 Spruce St, Spooner, WI 54801 | 2006-10-20 |
| 1720169675 | Steven Leslie Schreiber | Counselor | N4851 Highway 63 South, Spooner, WI 54801 | 2006-10-18 |
| Find all providers in zip 54801 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629526371 | Isaac Schauf | Personal Emergency Response Attendant | 13594 State Highway 27, Sparta, WI 54656-4770 | 2016-09-12 |
| 1891070785 | Ethan Dolf Pfefferkorn | Personal Emergency Response Attendant | 15018 Lakeview Ln, Three Lakes, WI 54562-9518 | 2011-10-11 |
| 1639170301 | David Eugene Coleman | Personal Emergency Response Attendant | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2005-08-03 |
| 1851709554 | Kevin Sponseller | Personal Emergency Response Attendant | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2014-07-25 |
| 1780091850 | Aurora Medical Group | Personal Emergency Response Attendant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2014-07-21 |
| 1174666325 | Swiftcare | Personal Emergency Response Attendant | 2405 Northwestern Ave, Racine, WI 53404-2503 | 2007-02-15 |
| 1770594475 | Jill Tracey Schenk | Personal Emergency Response Attendant | 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806-3610 | 2006-08-10 |
| 1316973480 | Freeman Mark Moore | Personal Emergency Response Attendant | 225 Memorial Dr, Berlin, WI 54923-1243 | 2006-06-23 |
| 1376599357 | Kristine H. Saudek | Personal Emergency Response Attendant | 9000 W Wisconsin Ave, Division of Neonatology, Milwaukee, WI 53226-4874 | 2006-05-25 |
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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.