Jeffrey Steven Boberg in O Fallon - Podiatrist
Jeffrey Steven Boberg - NPI 1437264595
Jeffrey Steven Boberg is a Podiatrist in O Fallon, Missouri. Jeffrey Steven Boberg practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jeffrey Steven Boberg is 1437264595. The last update date is 2021-05-10.
Jeffrey Steven Boberg's current location address is 9323 Phoenix Village Pkwy, O Fallon, Missouri. You can contact this provider via phone number 6365610871 and fax number 6365615032. The mailing address for Jeffrey Steven Boberg is 9323 Phoenix Village Pkwy, O Fallon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Steven Boberg |
|---|---|
| Address | 9323 Phoenix Village Pkwy, O Fallon, Missouri |
| Phone Number | 6365610871 |
| Fax Number | 6365615032 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1437264595 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2021-05-10 |
Provider Mailing Address Detail
| Address | 9323 Phoenix Village Pkwy |
|---|---|
| City | O Fallon |
| State | Missouri (MO) |
| Post Code | 633684281 |
| Phone Number | 6365610871 |
| Fax Number | 6365615032 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 570 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 302436829 | MO | -- | |
| 5031350001 | MO | DMERC | |
| P00081678 | MO | RAILROAD MEDICARE | |
| 5031350002 | IL | DMERC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey Steven Boberg?
The Jeffrey Steven Boberg has been issued the NPI (National Provider Identifier) 1437264595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeffrey Steven Boberg is physically located?
The Jeffrey Steven Boberg is physically situated at the following address: 9323 Phoenix Village Pkwy, O Fallon, MO, 633684281.
What is Jeffrey Steven Boberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeffrey Steven Boberg is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437264595 to Jeffrey Steven Boberg?
The Centers for Medicare & Medicaid Services originally issued the 1437264595 to Jeffrey Steven Boberg on 2006-08-20.
As of what date were the Jeffrey Steven Boberg's details last updated?
The information pertaining to the Jeffrey Steven Boberg, including its address, specialty, and other details, was most recently updated on 2021-05-10.
NPI Number: 1366446817
Address: 1600 Medical Center Dr, Huntington, WV
NPI Number: 1558366757
Address: 47 Town Street, Norwich, CT
NPI Number: 1194720656
Address: 155 Inverness Dr W, Englewood, CO