Organization Active NPI

Arthur R Boerner MD PMC

  • Obstetrics & Gynecology Physician
  • Jeffersonville, IN
National Provider Identifier
1710155544
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01029076A Issued in IN
Legal business name
ARTHUR R BOERNER MD PMC
Practice address
1407 Spring St
Suite 2
Jeffersonville, IN 47130-3748
Phone
(812) 288-9646
Fax
(812) 283-8391
NPI assigned
Feb 14, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Arthur R Boerner, MD
Title
MD Owner
Phone
(812) 288-9646

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002263A IN
Family Medicine Physician 207Q00000X 01061638A IN
Obstetrics & Gynecology Physician 207V00000X 01029076A IN Primary

Addresses

Primary practice location

1407 Spring St
Suite 2
Jeffersonville, IN 47130-3748

Mailing address

PO Box 770
Jeffersonville, IN 47131-0770
Phone (812) 288-9646

Other identifiers 1

IdentifierTypeStateIssuer
200451390BMedicaidIN

National Provider Directory

National Provider Directory

Locations

1407 Spring St
Jeffersonvlle, IN 47130
Phone (812) 288-9646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1710155544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471310770",
            "telephone_number": "812-288-9646",
            "fax_number": "812-283-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SPRING ST",
            "address_2": "SUITE 2",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303748",
            "telephone_number": "812-288-9646",
            "fax_number": "812-283-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR R BOERNER MD PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "BOERNER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "812-288-9646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002263A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01061638A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01029076A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200451390B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.