Gregory X Boehm, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-04-1394-B Issued in OH

Practice address

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

Phone

(440) 777-9200

Fax

(440) 777-9288

NPI assigned

Nov 24, 2006

Last updated

Mar 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory X Boehm, M.D. LLC

  • Psychiatry Physician
  • North Olmsted, OH
  • NPI 1659507168
  NPD (past) Authorized official
• Nancy Duff-Boehm, PHD & Asssociates LLC

  dba Action Recovery

  • Clinical Psychologist
  • North Olmsted, OH
  • NPI 1245386036
  NPD (past)
• Psych Services Inc

  • Clinical Psychologist
  • North Olmsted, OH
  • NPI 1144396011
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1972678894",
    "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": {
        "last_name": "BOEHM",
        "first_name": "GREGORY",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "35-04-1394-B",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-04-1394-B",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35-04-1394-B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Blakemore, D.D.S.
• William Stephen Blood, D.D.S. MD.
• Blue Ocean Medical Transportation
• Thomas Matthew Bobst, O.D.
• Miranda Boedeker
• Amanda Marie Bolgar, OTR/L
• Bracemed Inc.
• Drew Porter Bradford
• Lenore Natalia Braford
• Ernest B Brazina, O.D.

• 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 Mar 4, 2013; 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.