Dr. Kathryn Elaine Boehm --
MD, MS | Pediatric Adolescent Medicine | Female
Dr. Kathryn Elaine Boehm --, MD, MS is a Toledo, Ohio based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Kathryn Elaine Boehm -- is
2228 Bridlewood Dr, Toledo, Ohio - 43614-1003. She can be contacted on phone at
419-509-6798 and fax number 866-888-0321.
Dr. Kathryn Elaine Boehm -- is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kathryn Elaine Boehm -- is
1790788248 which was assigned by NPPES on 27 May, 2005 and it was last updated on 07 Mar, 2023.
Dr. Kathryn Elaine Boehm -- license number is
35-05-6573-B for Pediatrics, Adolescent Medicine (2080A0000X) in Ohio.
Dr. Kathryn Elaine Boehm -- specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Kathryn Elaine Boehm -- basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Adolescent Medicine |
|---|
| Provider Name : | Dr. Kathryn Elaine Boehm -- |
|---|
| Credential : | MD, MS |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Dr. Kathryn Elaine Boehm -- 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 : | 2228 Bridlewood Dr
Toledo, OH, 43614-1003
United States |
|---|
| Phone Number : | 419-509-6798 |
|---|
| Fax Number : | 866-888-0321 |
|---|
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 : | 1790788248 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 27 May, 2005 |
|---|
| Last Updated On : | 07 Mar, 2023 |
|---|
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 Dr. Kathryn Elaine Boehm -- are as mentioned. Primary taxonomy code for Dr. Kathryn Elaine Boehm --, MD, MS is
2080A0000X (Pediatrics, Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | Yes | 35-05-6573-B | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kathryn Elaine Boehm -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0744430 | MEDICAID | OH | |
| 2827491-180 | MEDICAID | MI | |
| 3159862 | Other (non-Medicare) | OH | Medicaid Group number |
| 35-05-6573-B | Other (non-Medicare) | OH | License |
| E2991 | MEDICARE UPIN | | |
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 : | 424 W Woodruff Ave
Toledo, OH, 43604-5027
United States |
|---|
| Phone Number : | 419-509-6798 |
|---|
| Fax Number : | 866-888-0321 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Kathryn Elaine Boehm -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.