Gregory X Boehm, M.D. LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

41394 Issued in OH

Legal business name

GREGORY X BOEHM, M.D. LLC

Practice address

26777 Lorain Rd
Suite 716
North Olmsted, OH 44070-3200

Phone

(440) 777-9200

Fax

(440) 777-9288

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gregory X Boehm, M.D.NPI 1972678894

Title

President

Phone

(440) 777-9200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory X Boehm, MD

  • Psychiatry Physician
  • North Olmsted, OH
  • NPI 1972678894
  NPD (past) Authorized official

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1659507168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "SUITE 716",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-777-9200",
            "fax_number": "440-777-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "SUITE 716",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-777-9200",
            "fax_number": "440-777-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY X BOEHM, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-777-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "41394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen D Gray
• Harry Edward Gray III, O.D., PH.D.
• Carolyn Green
• Jordan Green
• Caitlyn Marie Greene, LPN
• Isabelita E Guadiz, MD
• H.O.P.E. Counseling
• Renee Louise Hach, REGISTERED NURSE
• Tonia Denise Hale
• Jennifer M Hall, CNP

• Psychiatry Physician in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.