Dennis D Boekhoff, DO
Individual provider Active NPI Emergency Medicine Physician · Clinton, IA
NPI 1992765333 · NPPES record last updated Jan 22, 2008
Key facts
- NPI
- 1992765333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01536 (IA)
- Practice address
- 1410 N 4TH St
Clinton, IA 52732-2940 - Phone
- (563) 244-5555
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1536 | IA | MD | Occupational Therapy Assistant |
| 01536 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Covenant Medical Center Inc | Past | Accepting new patients | |
| Clinton Emergency Room Associates | Emergency Medicine | Past | Accepting new patients |
| Covenant Medical Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01536 | IA | Yes |
Addresses
Primary practice location
1410 N 4TH St
Clinton, IA 52732-2940
Mailing address
PO Box 643440
Cincinnati, OH 45264-0001
Phone (800) 299-8464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4149435 | Medicaid | IA | |
| 18563 | Other | MIDLANDS CHOICE | |
| 38202 | Other | WELLMARK BCBS OF IOWA |
Other providers in Clinton, IA
- Pauline Bland
- Daniel R Blohm
- Robert R Blohm
- Blooming Babies LLC
- Sydnee Boehmer-Diedrich
- Patricia Jo Boelk
- Amber Bordolo
- Brad M Borgwardt
- Maribeth Bousman
- Bowes Iowa Inc
All providers in Clinton, IA · Emergency Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.