Joyce Boehmer, M.D.
Individual provider Active NPI Internal Medicine Physician · Hazelwood, MO
NPI 1306837752 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1306837752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 36067 (MO)
- Practice address
- 637 Dunn Rd Ste 170
Hazelwood, MO 63042-1759 - Phone
- (314) 838-5702
- Fax
- (314) 839-5596
- NPI assigned
- Nov 3, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36067 | MO | Yes |
Addresses
Primary practice location
637 Dunn Rd Ste 170
Hazelwood, MO 63042-1759
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 838-5702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100053 | Other | MO | HEALTHLINK |
| 0400396 | Other | MO | UHC |
| 127462 | Other | MO | GHP |
| 000000010008 | Other | MO | ESSENCE |
| 92215275 | Other | BLUE SHIELD | |
| B18635 | Other | MO | MERCY |
| 4000106 | Other | MO | AETNA |
| 28788 | Other | MO | BCBS |
Other providers in Hazelwood, MO
- Blake in Home Health Service LLC
- Ryan Michael Blechle
- Blessed Non-Emergency Medical Transportation LLC
- Bloom Incorporated
- Blue Chip Home Health Services
- Yolanda Yvonne Boone
- Emily Kathryn Bozada
- Aaron Braun
- Breakthrough in Home Service IHS Inc.
- Brothers Home Healthcare LLC
All providers in Hazelwood, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.