Michael Stavis Bohl, MD, MPH, CPH, MWC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

302345 Issued in NY

Practice address

235 W 48TH St Apt 34a
New York, NY 10036-1431

Phone

(216) 319-0211

NPI assigned

May 28, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1104317973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 48TH ST APT 34A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361431",
            "telephone_number": "216-319-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 48TH ST APT 34A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361431",
            "telephone_number": "216-319-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHL",
        "first_name": "MICHAEL",
        "middle_name": "STAVIS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, CPH, MWC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-28",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "302345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie Bohan, LCSW
• Roshni Bohara
• Isaac Charles Bohart, MD
• Erica L Bohdan, RDN
• Noel Bohl-Fabian, LCSE
• Bethany C Bohlig, LMSW
• Dennis P. Bohlin, DDS
• Stephen Phillip Bohlman, MD, PHD
• Ilan S Bohm, DC
• Lori C. Bohm, PH.D.

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.