Damon M Boogaart is a Family in Willoughby, Ohio. Damon M Boogaart practices all healthcare services and medical treatments related to Family. The NPI Number for Damon M Boogaart is 1538160403. The last update date is 2015-04-17.
Damon M Boogaart's current location address is 2570 Som Center Rd, Willoughby, Ohio. You can contact this provider via phone number 4409432500 and fax number 4405168345. The mailing address for Damon M Boogaart is 2570 Som Center Rd, Willoughby, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Damon M Boogaart |
|---|---|
| Address | 2570 Som Center Rd, Willoughby, Ohio |
| Phone Number | 4409432500 |
| Fax Number | 4405168345 |
| Sole Proprietor | N |
| Credentials | DNP, CFNP |
NPI Number Detail
| NPI Number | 1538160403 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2015-04-17 |
Provider Mailing Address Detail
| Address | 2570 Som Center Rd |
|---|---|
| City | Willoughby |
| State | Ohio (OH) |
| Post Code | 440949607 |
| Phone Number | 4409432500 |
| Fax Number | 4405168345 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 71000544A |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 297161 | IN | BC/BS # | |
| 100321450 | IN | -- | |
| 2288117 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Damon M Boogaart by the Centers for Medicare & Medicaid Services?
The Damon M Boogaart has been assigned the NPI (National Provider Identifier) 1538160403. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Damon M Boogaart?
The Damon M Boogaart is physically situated at 2570 Som Center Rd, in the city of Willoughby, state of OH, with the postal code 440949607.
What is the Damon M Boogaart's specialty and taxonomy code?
The Damon M Boogaart's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Damon M Boogaart receive its 1538160403 assignment from the Centers for Medicare & Medicaid Services?
The Damon M Boogaart was assigned its 1538160403 by the Centers for Medicare & Medicaid Services on 2005-08-02.
When was the information regarding Damon M Boogaart, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Damon M Boogaart, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-17.