Eric William Boose, M.D.
Individual provider Active NPI Family Medicine Physician · Independence, OH
NPI 1528061702 · NPPES record last updated Jul 17, 2009
Key facts
- NPI
- 1528061702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35081506B (OH)
- Practice address
- 6701 Rockside Rd
Ste 260
Independence, OH 44131-2351 - Phone
- (216) 369-2525
- Fax
- (216) 369-2531
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cleveland Clinic
Practice addresses (Care Compare)
6701 Rockside Rd
Suite 260
Independence, OH 44131-2351
Phone (216) 369-2525
Hospital & facility affiliations
- Cleveland Clinic Home Care
- Elara Caring
- Cleveland Clinic
- Marymount Hospital
- Akron General Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040308000582 | OH | Practitioner - Family Practice | 9032007497 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35081506B | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current |
Accepting new patients |
Locations
36901 American Way
Avon, OH 44011
Phone (440) 930-6200
17747 Chillicothe Rd
Ste 100
Chagrin Falls, OH 44023
Phone (440) 543-8855
8805 Brecksville Rd
Unit 2
Cleveland, OH 44141
Phone (216) 369-2525
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6701 Rockside Rd
Ste 260
Independence, OH 44131
Phone (216) 369-2525
850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737
Interoperability endpoints
- eboosemd3080@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35081506B | OH | Yes |
Addresses
Primary practice location
6701 Rockside Rd
Ste 260
Independence, OH 44131-2351
Mailing address
6701 Rockside Rd
Ste 260
Independence, OH 44131-2351
Phone (216) 369-2525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350411 | Other | OH | WELLCARE |
| 000000489324 | Other | OH | ANTHEM |
| T81506 | Other | OH | SUMMACARE |
| 2332952 | Medicaid | OH |
Other providers in Independence, OH
- Barbara Holland Bobal
- Karolina Boc
- Brianna Bockman Wu
- Mary Lee Boesewetter
- Jada Boggan
- David James Bound
- Sarah Bound
- Minnie M Bowers
- Michael Bernard Boyle
- Leah Bradford
All providers in Independence, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.