Lisa Boes (NPI# 1548719560, PAC ID# 4082993787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1548719560 |
PAC ID by PECOS | 4082993787 |
Professional Enrollment ID | I20161121002581 |
Full Name | Lisa Boes |
Organization Legal Name | BLANCHARD VALLEY MEDICAL PRACTICE LLC |
Address |
271 Park Dr S Mccomb OH 45858-9401 |
Phone Number | 4192930601 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9234168147 |
Number of Group Practice Members | 54 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360095 | BLANCHARD VALLEY REGIONAL HEALTH CENTER |
Address | Phone | Organization |
---|---|---|
271 Park Dr S, Mccomb, OH 45858-9401 | 4192930601 | BLANCHARD VALLEY MEDICAL PRACTICE LLC |
Organization Legal Name | BLANCHARD VALLEY MEDICAL PRACTICE LLC |
Physicians | 57 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert A Puckett | Family Medicine | Blanchard Valley Medical Practice LLC | 930 Sheriden Dr A, Carey, OH 43316-1500 |
Malary Mcbride | Nurse Practitioner | Blanchard Valley Medical Practice LLC | 559 Harmon Rd, Bluffton Women Care, Bluffton, OH 45817-1085 |
Tyler Popil | Physician Assistant | Blanchard Valley Medical Practice LLC | 1800 N Blanchard St, Suite 121, Findlay, OH 45840-4509 |
Paige Frey | Nurse Practitioner | Blanchard Valley Medical Practice LLC | 1740 N Perry St, Ottawa, OH 45875-1173 |
Amber Lynne Seggerson | Nurse Practitioner | Blanchard Valley Medical Practice LLC | 161 Garau St, Bluffton, OH 45817-1076 |
Abigail L Allen | Physician Assistant | Blanchard Valley Medical Practice LLC | 2820 Greenacre Dr, Findlay, OH 45840-4157 |
Nicole R Ewing | Nurse Practitioner | Blanchard Valley Medical Practice LLC | 11745 Township Rd, Suite 145, Findlay, OH 45840-1093 |
Aubrey Marcum | Physician Assistant | Blanchard Valley Medical Practice LLC | 15900 Medical S Dr, Findlay, OH 45840-8894 |
April R Lieb | Physician Assistant | Blanchard Valley Medical Practice LLC | 1818 Chapel Dr B, Findlay, OH 45840-1344 |
Desiree N Hauenstein | Physician Assistant | Blanchard Valley Medical Practice LLC | 15840 Medical S Dr, Findlay, OH 45840-7833 |
Street Address |
271 PARK DR S |
City | MCCOMB |
State | OH |
Zip | 45858-9401 |
City | MCCOMB |
Zip Code | 45858 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MCCOMB + NURSE PRACTITIONER |
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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.