Mark C Boettcher
MD | Pediatrics | Male
Mark C Boettcher, MD is a Janesville, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mark C Boettcher is
3200 E Racine St, Janesville, Wisconsin - 53546-2343. He can be contacted on phone at
608-371-8000 and fax number 608-371-8008.
Mark C Boettcher is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark C Boettcher is
1750325155 which was assigned by NPPES on 15 Jun, 2006 and it was last updated on 03 Nov, 2020.
Mark C Boettcher license number is
33859-020 for Pediatrics (208000000X) in Wisconsin.
Mark C Boettcher is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark C Boettcher basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mark C Boettcher |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Mark C Boettcher 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 : | 3200 E Racine St
Janesville, WI, 53546-2343
United States |
|---|
| Phone Number : | 608-371-8000 |
|---|
| Fax Number : | 608-371-8008 |
|---|
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 : | 1750325155 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 15 Jun, 2006 |
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| Last Updated On : | 03 Nov, 2020 |
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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 Mark C Boettcher are as mentioned. Primary taxonomy code for Mark C Boettcher, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 33859-020 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Mark C Boettcher such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1750325155 | MEDICAID | WI | |
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).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
FHIR
(FHIR URL) | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
| No affiliation | OTHER
Other
FHIR API | OTHER
Other
CCD | 3200 E RACINE ST,
JANESVILLE, WI, 53546-2343
United States |
DIRECT
(Direct Messaging Address) | mboettcher258778@direct-ehr-ssmhc.com
| No affiliation | DIRECT
Direct
| OTHER
Other
mboettcher258778@direct-ehr-ssmhc.com | 3200 E RACINE ST,
JANESVILLE, WI, 53546-2343
United States |
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 : | 3200 E Racine St
Janesville, WI, 53546-2343
United States |
|---|
| Phone Number : | 608-371-8000 |
|---|
| Fax Number : | 608-371-8919 |
|---|
Business Location:
Patients can refer following map for directions to
Mark C Boettcher practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.