Active NPI
Eric David Boehmer, MD
- Family Medicine Physician
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 75118
- Practice address
- 420 E 1St St
Duluth, MN 55805-1901 - Phone
- (218) 786-8364
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53427-020 | WI | |
| Family Medicine Physician | 207Q00000X | 75118 | MN | Primary |
| Family Medicine Physician | 207Q00000X | MD159670 | OR |
Addresses
Primary practice location
420 E 1St St
Duluth, MN 55805-1901
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0852480001 | Other | WI | DMERC |
| 528513 | Other | WI | UGS MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101023000126 | WI | Practitioner - Family Practice | 9739372608 | Reassigns benefits to 4 organizations |
| I20240301000676 | MN | Practitioner - Family Practice | 9739372608 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Duluth Clinic LTD
Practice addresses (Care Compare)
404 Lincoln Ave
Sheboygan, WI 53081-2862
Phone (608) 475-9801
420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364
Hospital & facility affiliations
- Holy Family Memorial
- Tamarack Health Ashland Medical Center
- Essentia Health Duluth
- St Marys Hospital Superior
- St Nicholas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75118 | MN | MD | Family Medicine Physician |
| 53427-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Hospital of Superior | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| St. Mary'S Duluth Clinic Health System | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| St. Mary'S Hospital of Superior | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| Froedtert Manitowoc Medical Group, LLC | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| St Mary'S Hospital of Superior | Current | Accepting new patients | |
| Asante Physician Partners | Family Medicine | Past | Accepting new patients |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
1650 S 41st St
Manitowoc, WI 54220
Phone (920) 320-3100
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
11430 N Port Washington Rd
Mequon, WI 53092
Phone (262) 518-1900
1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011
1414 N Taylor Dr
Ste 110
Sheboygan, WI 53081
Phone (920) 208-9000
1414 N Taylor Dr
Ste 210
Sheboygan, WI 53081
Phone (262) 243-2500
1180 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2151
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Organizations & group practices 35
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
WI
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
WI
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
- Community/Retail Pharmacy
- Duluth, MN
- NPI 1427164839
-
- Community/Retail Pharmacy
- Grand Rapids, MN
- NPI 1831690346
-
- Community/Retail Pharmacy
- Duluth, MN
- NPI 1003114539
-
- Community/Retail Pharmacy
- International Falls, MN
- NPI 1245346659
-
- Community/Retail Pharmacy
- Hermantown, MN
- NPI 1336255744
-
- Community/Retail Pharmacy
- Silver Bay, MN
- NPI 1437457330
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sheboygan, WI
- NPI 1427009992
Hospital
-
- Critical Access Hospital Clinic/Center
- Superior, WI
- NPI 1588691588
Hospital
-
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1023217528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051901",
"telephone_number": "218-786-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHMER",
"first_name": "ERIC",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "53427-020",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "75118",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD159670",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0852480001",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UGS MEDICARE",
"identifier": "528513",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.