Active NPI
Arthur R Boerner MD PMC
- Obstetrics & Gynecology Physician
- Jeffersonville, IN
National Provider Identifier
1710155544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01029076A
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200451390B | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Louisville, KY
- NPI 1184682056
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.