Carol G Boehm (NPI# 1821020884, PAC ID# 2466489471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1821020884 |
| PAC ID by PECOS | 2466489471 |
| Professional Enrollment ID | I20050721000363 |
| Full Name | Carol G Boehm |
| Organization Legal Name | CHESAPEAKE AND WASHINGTON HEART CARE, PC |
| Address |
12070 Old Line Ctr Suite 303 Waldorf MD 20602-3535 |
| Phone Number | 3016455100 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496731440 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| 210035 | UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 | 3016455100 | CHESAPEAKE AND WASHINGTON HEART CARE, PC |
| Organization Legal Name | CHESAPEAKE AND WASHINGTON HEART CARE, PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn S Christopher | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
| Terence Bertele | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
| Awail U Sadiq | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
| Jonathan David Gardner | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
| Samuel B Itscoitz | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
| Roquell E Wyche | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
| Street Address |
12070 OLD LINE CTR SUITE 303 |
| City | WALDORF |
| State | MD |
| Zip | 20602-3535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moenil Patel | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Basirmohmad F Kolia | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Joseph Distefano | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Anna P Thottan | Endocrinology | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Vishal Mungal | Pulmonary Disease | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Anish S Nanavati | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Arnel Castrence | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Dawn S Christopher | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
| Kiran D Mehta | Pulmonary Disease | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Claude Oather Spears | Nurse Practitioner | Privia Care Center LLC | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2567 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Patricia Vance | Psychologist, Clinical | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Paul E Donato | Clinical Social Worker | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Michael A Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Charles L Ruby | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Lee F Owens | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Mary Beth Voorhees | Clinical Social Worker | Walden Sierra Corporation | 85 High St, Waldorf, MD 20602-2150 |
| Larry S Hotchkiss | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Justin G Pointer | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Seth A Weaver | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Find all physicians in zip 20602 | |||
| City | WALDORF |
| Zip Code | 20602 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WALDORF + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carol G Boehm.
| 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.