Katherine Bohard Salciccioli

MD | Pediatric Cardiology | Female

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Complete Profile:

Katherine Bohard Salciccioli basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Katherine Bohard Salciccioli
Other Name :	Katherine Anne Bohard
Credential :	MD
Gender :	Female

Business Address:

Katherine Bohard Salciccioli address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1500 E Medical Center Dr, 2381 Cardiovascular Center Ann Arbor, MI, 48109-5000 United States
Phone Number :	734-764-5176
Fax Number :	734-936-9470

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1679849178
NPI Entity Type :	Individual
First Enrolment Date :	28 Mar, 2012
Last Updated On :	09 Apr, 2021

Medicare Participation:

Katherine Bohard Salciccioli participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2062805492
Medicare Enrollment ID :	I20220208001657
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	University Of Michigan Medical School
Graduation Year :	2012
Accepts Medicare?	Yes. Katherine Bohard Salciccioli accepts medicare insurance.

Group Practice Association:

Katherine Bohard Salciccioli is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Katherine Bohard Salciccioli is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Texas Childrens Physician Group	4385722081	316	8611 N Mopac Expy Austin, TX - 787598319 Ph: 8328241000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katherine Bohard Salciccioli are as mentioned. Primary taxonomy code for Katherine Bohard Salciccioli, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	4301117203	MI
207R00000X	Internal Medicine	No	BP10042711	TX
208000000X	Pediatrics	No	BP10042711	TX
2080P0202X	Pediatrics Pediatric Cardiology	Yes	Q6369	TX

Other Practice Locations:

Practice Address	City, State	Phone Number
1709 DRYDEN RD STE 586B, BCM-620 HOUSTON, TX, 77030-2400 United States	HOUSTON, TX	713-798-0104

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1500 E Medical Center Dr Ann Arbor, MI, 48109-5000 United States
Phone Number :	734-764-5176
Fax Number :	734-936-9470

Business Location:

Patients can refer following map for directions to Katherine Bohard Salciccioli practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.