Justin C Boeke (NPI# 1073933321, PAC ID# 7012212384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1073933321 |
| PAC ID by PECOS | 7012212384 |
| Professional Enrollment ID | I20180927001976 |
| Full Name | Justin C Boeke |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
25945 Gateway Dr Zimmerman MN 55398-5300 |
| Phone Number | 7638566900 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| 240141 | FAIRVIEW NORTHLAND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 25945 Gateway Dr, Zimmerman, MN 55398-5300 | 7638566900 | 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 |
| 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 |
| Michaela M Monetti | Psychologist, Clinical | Fairview Health Services | 7455 Village Dr, Lino Lakes, MN 55014-1181 |
| Street Address |
25945 GATEWAY DR |
| City | ZIMMERMAN |
| State | MN |
| Zip | 55398-5300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian L Hoffmann | Chiropractic | 26250 2nd E St, Suite 100, Zimmerman, MN 55398 | |
| Andrew J Linn | Chiropractic | 26144 3rd St E, Zimmerman, MN 55398-9305 |
| City | ZIMMERMAN |
| Zip Code | 55398 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ZIMMERMAN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Justin C Boeke.
| 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.