Individual provider Active NPI

Jeffrey Luke Bohling, M.D.

  • Obstetrics & Gynecology Physician
  • Newburgh, IN
National Provider Identifier
1659377380
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01022969 Issued in IN
Practice address
4199 Gateway Blvd
Ste 2300
Newburgh, IN 47630-8966
Phone
(812) 858-4610
Fax
(812) 858-4632
NPI assigned
Jun 27, 2005
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01022969 IN Primary

Addresses

Primary practice location

4199 Gateway Blvd
Ste 2300
Newburgh, IN 47630-8966

Mailing address

4199 Gateway Blvd
Ste 2300
Newburgh, IN 47630-8966
Phone (812) 858-4610

Other identifiers 1

IdentifierTypeStateIssuer
100246430AMedicaidIN

Other names 1

  • Dr. Jeffrey L Bohling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01022969INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health Care, PC Obstetrics & Gynecology Current Accepting new patients
Women's Health Care, PC Obstetrics & Gynecology Current Accepting new patients

Locations

4199 Gateway Blvd
Ste 2300
Newburgh, IN 47630
Phone (812) 858-4610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1659377380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "STE 2300",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308966",
            "telephone_number": "812-858-4610",
            "fax_number": "812-858-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "STE 2300",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308966",
            "telephone_number": "812-858-4610",
            "fax_number": "812-858-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLING",
        "first_name": "JEFFREY",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01022969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246430A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "BOHLING",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.