Jaclyn J Bohm (NPI# 1306005111, PAC ID# 2466620968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1306005111 |
| PAC ID by PECOS | 2466620968 |
| Professional Enrollment ID | I20110728000455 |
| Full Name | Jaclyn J Bohm |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
15075 Cimarron Ave Suite 20 Rosemount MN 55068-1637 |
| Phone Number | 6513228888 |
| Gender | F |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240078 | FAIRVIEW SOUTHDALE HOSPITAL |
| 240207 | FAIRVIEW RIDGES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 9529974100 | FAIRVIEW HEALTH SERVICES |
| 15650 Cedar Ave, Suite 160, Apple Valley, MN 55124-7283 | 9529974170 | FAIRVIEW HEALTH SERVICES |
| 15650 Cedar Ave, Apple Valley, MN 55124-7283 | FAIRVIEW CLINICS | |
| 14101 Fairview Dr, Burnsville, MN 55337-2537 | FAIRVIEW HEALTH SERVICES | |
| 14101 Fairview Dr, Suite 300, Burnsville, MN 55337-2537 | 9528922650 | FAIRVIEW CLINICS |
| 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 9528922000 | FAIRVIEW CLINICS |
| 1440 Duckwood Dr, Eagan, MN 55122-1451 | 6514068860 | FAIRVIEW CLINICS |
| 6401 France Ave S, Edina, MN 55435-2104 | 9529245000 | FAIRVIEW HEALTH SERVICES |
| 6401 France Ave S, Edina, MN 55435-2104 | FAIRVIEW CLINICS | |
| 6401 France S Ave, Edina, MN 55435-2104 | 9529245140 | FAIRVIEW HEALTH SERVICES |
| 15075 Cimarron Ave, Suite 20, Rosemount, MN 55068-1637 | 6513228888 | FAIRVIEW HEALTH SERVICES |
| 5725 Loftus Dr, Savage, MN 55378-2717 | 9522269560 | FAIRVIEW HEALTH SERVICES |
| 5725 Loftus Ln, Savage, MN 55378-2717 | 9522269500 | FAIRVIEW HEALTH SERVICES |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
15075 CIMARRON AVE SUITE 20 |
| City | ROSEMOUNT |
| State | MN |
| Zip | 55068-1637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard W Lundgren | Physical Therapy | Fairview Health Services | 15075 Cimarron Ave, Suite 20, Rosemount, MN 55068-1637 |
| David A Skansberg | Physical Therapy | Fairview Health Services | 15075 Cimarron Ave, Rosemount, MN 55068-1635 |
| Andrea M Britt | Physical Therapy | Fairview Health Services | 15075 Cimarron Ave, Suite 20, Rosemount, MN 55068-1637 |
| Jenna Bergquist | Nurse Practitioner | Fairview Clinics | 15075 Cimarron Ave, Rosemount, MN 55068-1635 |
| Stephanie S Band | Physical Therapy | Fairview Health Services | 15075 Cimarron Ave, Suite 20, Rosemount, MN 55068-1637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert C Hoff Jr. | Chiropractic | 14450 S Robert Trail, 208 Po Box 190, Rosemount, MN 55068 | |
| Jessica L Warren | Chiropractic | Rapp Chiropractic LLC | 15170 Chippendale Ave W, Suite 200, Rosemount, MN 55068-2769 |
| Nicholas J Rapp | Chiropractic | Rapp Chiropractic LLC | 15170 Chippendale Ave W, Suite 200, Rosemount, MN 55068-2769 |
| Kendra L Bohannon | Chiropractic | Rapp Chiropractic LLC | 15170 Chippendale Ave W, Suite 200, Rosemount, MN 55068-2769 |
| Curtis J Rapp | Chiropractic | Rapp Chiropractic LLC | 15170 Chippendale Ave W, Suite 200, Rosemount, MN 55068-2769 |
| Colleen R Mens | Clinical Social Worker | 15170 Chippendale Ave W, Suite 300, Rosemount, MN 55068-2769 | |
| Alana M Testa | Clinical Social Worker | Lorenz Clinic LLC | 2930 146th St W, Suite 114, Rosemount, MN 55068-3749 |
| Halaina Irene Christensen | Clinical Social Worker | Lorenz Clinic LLC | 2930 146th St W, Suite 114, Rosemount, MN 55068-3749 |
| Avery Marie Roy | Chiropractic | Healthpro Chiropractic PC | 2930 146th St W, Suite 110, Rosemount, MN 55068-3750 |
| Eric J Rice | Chiropractic | Healthpro Chiropractic PC | 2930 146th St W, Suite 110, Rosemount, MN 55068-3750 |
| Find all physicians in zip 55068 | |||
| City | ROSEMOUNT |
| Zip Code | 55068 |
| Specialty | PODIATRY |
| City + Specialty | ROSEMOUNT + PODIATRY |
Please comment or provide details below to improve the information on Jaclyn J Bohm.
| 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.