Carl Boesel, M.D.

Primary specialty

Pediatric Pathology PhysicianTaxonomy code 207ZP0213X

License

35029325B Issued in OH

Practice address

700 Childrens Dr
Columbus, OH 43205-2664

Phone

(614) 722-5315

Fax

(614) 722-3033

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1770567968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 781676",
            "address_2": "PO BOX 78000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781676",
            "telephone_number": "614-722-5315",
            "fax_number": "614-722-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-5315",
            "fax_number": "614-722-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESEL",
        "first_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "OH",
            "license": "35029325B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000229250",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7065005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0782274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camiron Boeres, LSW
• Jessica A Boerner, MD
• Mark Boertje, ED.S, NCSP
• Leanza Boes
• Thomas J Boes, M.D.
• Adam Scott Boester, DO
• Jessica Lynn Boetcher, PA-C
• Susan Koltas Boettner, RPH
• Mandy R Boetz, LSW
• Monique A Boezi, DO

• Pediatric Pathology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Pediatric Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.