Frank Harrison Boehm Jr., M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

164756 Issued in NY

Practice address

2408 Genesee St
Utica, NY 13502

Phone

(315) 738-7899

Fax

(315) 738-7669

NPI assigned

Jul 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1841456902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025813",
            "telephone_number": "315-738-7899",
            "fax_number": "315-738-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-738-7899",
            "fax_number": "315-738-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "FRANK",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "164756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB/NYS",
            "identifier": "164756-9",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01245849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Michelle Blum, FNP
• Bobs Pharmacy LLC
• Bobs Pharmacy LLC
• Bodywise Pure Pilates, LLC
• Deanna Boehlert
• Patrice Anne Bogan, N.P.
• Jaclyn Marie Bogdan
• Aleksey V Bogolyubov, MD
• Ejub Bojadzija, PHARM.D
• Dshauna Lee Boles

• Neurological Surgery Physician in Utica, NY
• Providers in Utica, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.