William Boehm
Internal Medicine

Address: N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135
Phone: 2625493030

William Boehm (NPI# 1346213519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1346213519
Entity Type Individual
Full Name William Boehm
Credential M.D.
Gender Male
Practice Address N14w23900 Stone Ridge Dr
Prohealth Care Medical Associates Inc.
Waukesha
WI 53188-1135
Practice Telephone 2625493030
Mailing Address N14w23900 Stone Ridge Dr
Prohealth Care Medical Associates Inc.
Waukesha
WI 53188-1135
Mailing Telephone 2625493030
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-02-08
Last Update Date 2011-11-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 33446 WI

Other Provider Identifier

State Identifier Issuer Type Code
WI 32015300 MEDICAID

Other Providers WILLIAM BOEHM

NPI Name Taxonomy Address Enumeration
1770730293 William Paul Boehm Psychologist 4199 Campus Drive, Suite 550, Irvine, CA 92612 2008-08-27
1588670293 William Boehm Emergency Medicine 4th Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 2006-08-01
1144272683 William Scot Boehm Nurse Anesthetist, Certified Registered 2105 East South Blvd, Montgomery, AL 36116 2006-05-16

Physician Overview

NPI 1346213519
PAC ID by PECOS 3476465105
Professional Enrollment ID I20100512000338
Full Name William J Boehm
Organization Legal Name PROHEALTH CARE MEDICAL ASSOCIATES INC
Phone Number 2629287100
Gender M
Medical School MEDICAL COLLEGE OF WISCONSIN
Graduation Year 1991
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 3476465188
Number of Group Practice Members 373
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520008 WAUKESHA MEMORIAL HOSPITAL
520062 OCONOMOWOC MEMORIAL HOSPITAL

Office Location

Street Address N14W23900 STONE RIDGE DR
PROHEALTH CARE MEDICAL ASSOCIATES INC.
City WAUKESHA
State WI
Zip Code 53188-1135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992704159 Health Center Pharmacy of Menomonee Falls Pharmacy N14w23900 Stone Ridge Dr, Waukesha, WI 53188-1135 2005-07-19
1902985013 Jamey Jill Jick Internal Medicine N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 2006-11-02
1265516645 Laura L Radke Internal Medicine N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 2006-10-24
1144271925 Amandeep S Gill Internal Medicine N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 2006-05-15
1346206562 Amy Weaver Optometrist N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates, Waukesha, WI 53188-1135 2006-04-25
1437115847 Diane Keyes Nurse Practitioner N14w23900 Stone Ridge Dr, Waukesha, WI 53188-1135 2006-04-25
1508828328 Catherine Bril Physician Assistant N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc, Waukesha, WI 53188-1135 2006-04-05
1710947064 Jean Bagin Nurse Practitioner N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 2006-03-23
1881661445 Tracy R. Coulter Podiatrist N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 2006-03-02
1851367072 Jennifer Vipond Pediatrics N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 2006-02-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1063905461 Cheryl Buroker Student in an Organized Health Care Education/Training Program 2067 North Grandview Blvd, Suite 110, Waukesha, WI 53188 2018-06-11
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavior Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
1316365331 Kristine Sullivan Obstetrics & Gynecology 721 American Ave Ste 304, Waukesha, WI 53188 2014-04-07
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952541849 Keshni Lata Ramnanan Internal Medicine 2428 N Grandview Blvd, Waukesha, WI 53188-6906 2009-03-04
1427208099 Afroz A Hai Internal Medicine 725 American Ave Ste 410, Prohealth Care Cardiology, Waukesha, WI 53188-5031 2008-09-19
1841344231 Greg L Brown Internal Medicine 2607 N. Grandview Blvd, Ste 150, Waukesha, WI 53188 2007-01-22
1144305905 Ryan D. Blenker Internal Medicine 725 American Ave. Room 2036, Phc Hospitalist Program, Waukesha, WI 53188-5031 2006-10-27
1396792255 Timothy Gerard Mcavoy Internal Medicine 1751 E Main St, Waukesha, WI 53186-3940 2006-05-27
1417909698 Jose S. Agpoon Internal Medicine 1859 E Moreland Blvd, Waukesha, WI 53186-3915 2006-05-16
1093775090 Harry B. Hostetler Internal Medicine 1625 Coldwater Creek Dr, Waukesha, WI 53188-8028 2006-03-24
1174596811 Mary Conti Swiontoniowski Internal Medicine 725 American Avenue, Room 2036, Waukesha, WI 53188 2006-02-13
1104899798 John R. Zandt Internal Medicine Waukesha Memorial Hospital-hospitalist Program, 725 American Avenue Room 2036, Waukesha, WI 53188 2006-02-13
1720051550 Michelle M Agnew Internal Medicine Prohealth Care Medical Centers-south, 2130 Big Bend Road, Waukesha, WI 53189 2006-02-10
Find all providers in WAUKESHA

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City WAUKESHA
Zip Code 53188

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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