Active NPI
Karen Boheen, D.O.
- Obstetrics & Gynecology Physician
- Layton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 99-370139-1204
- Practice address
- 1492 W Antelope Dr
#205
Layton, UT 84041-1139 - Phone
- (801) 728-0600
- Fax
- (801) 728-0606
- NPI assigned
- Jul 21, 2005
- Reactivated
- Apr 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO01389 | RI | |
| Obstetrics & Gynecology Physician | 207V00000X | 99-370139-1204 | UT | Primary |
Addresses
Primary practice location
1492 W Antelope Dr
#205
Layton, UT 84041-1139
Mailing address
1492 W Antelope Dr
#205
Layton, UT 84041-1139
Phone (801) 728-0600
Other practice location 1
20 Powell Ave
Newport, RI 02840
Phone (401) 848-5556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1477 N 2000
Suite C
Clinton, UT 84015-9099
Phone (801) 773-4840
2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840
425 S 100
Layton, UT 84041-5356
Phone (801) 773-4840
Hospital & facility affiliations
- Holy Cross Hospital-Davis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO01389 | RI | MD | Obstetrics & Gynecology Physician |
| 99-370139-1204 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Tanner Memorial Clinic | Obstetrics & Gynecology | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients |
Locations
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
425 S 100 W
Layton, UT 84041
Phone (801) 682-8708
2132 N Robins Dr
Ste 310
Layton, UT 84041
Interoperability endpoints
- karen.boheen.p1@direct.tannerclinic.nextgenshare.com
- kboheen229912@brownhealth.medalliesdirect.net
Organizations & group practices 6
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
- Layton, UT
- NPI 1447239355
Obstetrics & Gynecology
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
Obstetrics & Gynecology
-
- Primary Care Clinic/Center
- Farmington, UT
- NPI 1447845730
-
- Multi-Specialty Clinic/Center
- Layton, UT
- NPI 1538951165
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Layton, UT
- NPI 1346945839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1467452383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1492 W ANTELOPE DR",
"address_2": "#205",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411139",
"telephone_number": "801-728-0600",
"fax_number": "801-728-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 W ANTELOPE DR",
"address_2": "#205",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411139",
"telephone_number": "801-728-0600",
"fax_number": "801-728-0606"
}
],
"practiceLocations": [
{
"address_1": "20 Powell Ave",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "RI",
"postal_code": "02840",
"country_code": "US",
"telephone_number": "401-848-5556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHEEN",
"first_name": "KAREN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-16",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "RI",
"license": "DO01389",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "99-370139-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.