Theodore Boehm (NPI# 1508894825, PAC ID# 2961449335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1508894825 |
| PAC ID by PECOS | 2961449335 |
| Professional Enrollment ID | I20050418000110 |
| Full Name | Theodore Boehm |
| Organization Legal Name | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Address |
3400 W Tecumseh Rd Suite 101 Norman OK 73072-1810 |
| Phone Number | 4053606764 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | SPORTS MEDICINE |
| Group Practice PAC ID | 4789686163 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370008 | NORMAN REGIONAL |
| Address | Phone | Organization |
|---|---|---|
| 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 | 4053606764 | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Organization Legal Name | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seethal Rao Madhavarapu | Family Medicine | Oklahoma Sports and Orthopedics Institute Pllc | 13401 N Western Ave, Suite 301, Oklahoma City, OK 73114-1411 |
| Robert B Rogers | Physician Assistant | Oklahoma Sports and Orthopedics Institute Pllc | 1111 N Dewey Ave, Oklahoma City, OK 73103-2609 |
| James Lee Bond | Orthopedic Surgery | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Corinne Liann Gil | Physical Therapy | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Brian Edward Clowers | Orthopedic Surgery | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Mark D Johnson | Physician Assistant | Oklahoma Sports and Orthopedics Institute Pllc | 608 Nw 9th St, Suite 6000, Oklahoma City, OK 73102-1041 |
| Jordan Elizabeth Hobbs | Physician Assistant | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Kasey Degiusti | Nurse Practitioner | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Kimberly Renee' Robinson | Physical Therapy | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Heather C Kuklinski | Physician Assistant | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Street Address |
3400 W TECUMSEH RD SUITE 101 |
| City | NORMAN |
| State | OK |
| Zip | 73072-1810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Olmsted | Nurse Practitioner | Norman Regional Providers-primary Care | 3400 W Tecumseh Rd, 300 Metabolic Weight Loss Clinic, Norman, OK 73072-1812 |
| Kevin Q Epperson | Family Medicine | Norman Regional Providers-primary Care | 3400 W Tecumseh Rd, 104 Primary Care West Norman, Norman, OK 73072-1810 |
| Jordan Lynn Harris | Nurse Practitioner | Norman Regional Providers-specialty Care | 3400 W Tecumseh Rd, 300 Nrhs Neurology Assoc Headache Cntr, Norman, OK 73072-1812 |
| James Lee Bond | Orthopedic Surgery | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Laure Demattia | Family Medicine | Norman Regional Providers-primary Care | 3400 W Tecumseh Rd, 104 Primary Care West Norman, Norman, OK 73072-1810 |
| Krupa Mathew | Nurse Practitioner | Norman Regional Providers-specialty Care | 3400 W Tecumseh Rd, 300 Nrhs Neurology Assoc Headache Cntr, Norman, OK 73072-1812 |
| Wesley D Hinz | Family Medicine | Norman Regional Providers-primary Care | 3400 W Tecumseh Rd, 104 Primary Care West Norman, Norman, OK 73072-1810 |
| Corinne Liann Gil | Physical Therapy | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Alyssa Mathilde Ohs | Obstetrics/gynecology | Norman Regional Providers-specialty Care | 3400 W Tecumseh Rd, 205 Nrhs Care for Women Norman, Norman, OK 73072-1811 |
| Brian Edward Clowers | Orthopedic Surgery | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luci Ann Gratch | Nurse Practitioner | Spectrum Healthcare Solutions, Pllc | 3110 Healthplex Pkwy, Norman, OK 73072-1001 |
| Audrianna Denay Sparks | Nurse Practitioner | Spectrum Healthcare Solutions, Pllc | 3110 Healthplex Pkwy, Norman, OK 73072-1001 |
| Angela M Rucker | Nurse Practitioner | Spectrum Healthcare Solutions, Pllc | 3110 Healthplex Pkwy, Norman, OK 73072-1001 |
| Stephanie Marie Williams | Nurse Practitioner | Spectrum Healthcare Solutions, Pllc | 3110 Healthplex Pkwy, Norman, OK 73072-1001 |
| Thomas Adam Geurkink | Optometry | 3960 W Tecumseh Rd, Suite 110, Norman, OK 73072-1707 | |
| Sidonie R Bevier | Physical Therapy | Mcbride Clinic Orthopedic Hospital, LLC | 3700 36th Ave Nw, Norman, OK 73072-1803 |
| Deborah S Mason | Physical Therapy | Mcbride Clinic Orthopedic Hospital, LLC | 3700 36th Ave Nw, Norman, OK 73072-1803 |
| Benjamin I Panter | Orthopedic Surgery | Mcbride Clinic Orthopedic Hospital, LLC | 3700 36th Ave Nw, Norman, OK 73072-1803 |
| Mark Pascale | Orthopedic Surgery | Mcbride Clinic Orthopedic Hospital, LLC | 3700 36th Ave Nw, Norman, OK 73072-1803 |
| Robert Eugene Arthur | Rheumatology | Mcbride Clinic Orthopedic Hospital, LLC | 3700 36th Ave Nw, Norman, OK 73072-1803 |
| Find all physicians in zip 73072 | |||
| City | NORMAN |
| Zip Code | 73072 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | NORMAN + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Theodore 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.