Jerry J Boley (NPI# 1962465435, PAC ID# 0244304145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1962465435 |
PAC ID by PECOS | 0244304145 |
Professional Enrollment ID | I20080809000150 |
Full Name | Jerry J Boley |
Address |
4112 Monroe Rd Celina OH 45822-9250 |
Gender | M |
Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1990 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360058 | MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL |
360032 | GRAND LAKE HEALTH SYSTEM |
360066 | ST RITA'S MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4112 Monroe Rd, Celina, OH 45822-9250 |
Street Address |
4112 MONROE RD |
City | CELINA |
State | OH |
Zip | 45822-9250 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shanthi Satyanarayana | Internal Medicine | 950 S Main, Suite 2, Celina, OH 45822 | |
Gina Van Arsdel | Chiropractic | 125 E Forest St, Celina, OH 45822-1212 | |
Aaron Pruitt | Chiropractic | Celina Chiropractic Care Inc | 125 E Forest St, Celina, OH 45822-1212 |
Brian T Gerlach | Optometry | Grand Lake Eyecare LLC | 1025 Grand Lake Rd, Celina, OH 45822-1309 |
Christie Grieshop | Optometry | Grand Lake Eyecare LLC | 1025 Grand Lake Rd, Celina, OH 45822-1309 |
Lindsay M Dues | Optometry | Grand Lake Eyecare LLC | 1025 Grand Lake Rd, Celina, OH 45822-1309 |
James T Schmit | Chiropractic | 806 E Wayne St, Celina, OH 45822-1359 | |
Joshua J Werling | Optometry | Mercer In-sight LLC | 706 E Wayne St, Celina, OH 45822-1380 |
Franklin D Tangeman | Optometry | Mercer In-sight LLC | 706 E Wayne St, Celina, OH 45822-1380 |
Tiffany A Burden | Clinical Social Worker | Momentum Counseling and Consultation, LLC | 112 /2 N Main St, Celina, OH 45822-1729 |
Find all physicians in zip 45822 |
City | CELINA |
Zip Code | 45822 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | CELINA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.