Individual provider Active NPI

Steven William Boehm

  • Surgery Physician
  • Aiken, SC
National Provider Identifier
1336768530
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
90108 Issued in SC
Practice address
410 University Pkwy Ste 2310
Aiken, SC 29801-6819
Phone
(803) 648-1318
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS022455 PA
Student in an Organized Health Care Education/Training Program 390200000X OT019872 PA
Surgery Physician 208600000X 90108 SC Primary

Addresses

Primary practice location

410 University Pkwy Ste 2310
Aiken, SC 29801-6819

Mailing address

410 University Pkwy Ste 2310
Aiken, SC 29801-6819
Phone (803) 649-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022003485 SC Practitioner - General Surgery 5193131662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS022455PAMDSurgery Physician
90108SCMDSurgery Physician
OT019872PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Professional Association LLC CurrentSince Aug 25, 2025 Accepting new patients
Aiken Professional Association, LLC Surgery CurrentSince Aug 25, 2025 Accepting new patients

Locations

137 Miracle Dr
Aiken, SC 29801
Phone (803) 226-0589

410 University Pkwy
Ste 2310
Aiken, SC 29801
Phone (803) 642-1318

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aiken Professional Association LLC 55 clinicians

Practice addresses (Care Compare)

410 University Pkwy
Suite 2310
Aiken, SC 29801-6835
Phone (803) 648-1318

Hospital & facility affiliations

  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1336768530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 2310",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016819",
            "telephone_number": "803-649-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 2310",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016819",
            "telephone_number": "803-648-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS022455",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT019872",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "90108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.