| Dr Ryan David Boehm, MD | |
|
70 Kenyon Ave, Wakefield, RI 02879-4239 | |
| (401) 789-5770 | |
| (401) 889-5082 |
| Full Name | Dr Ryan David Boehm |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Interventional Cardiology |
| Location | 70 Kenyon Ave, Wakefield, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124342159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | MD20203 (Rhode Island) | Primary |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Entity Name | Pmr La Holding, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700333689 PECOS PAC ID: 7315355062 Enrollment ID: O20210416001427 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan David Boehm, MD 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 737-7010 | Dr Ryan David Boehm, MD 70 Kenyon Ave, Wakefield, RI 02879-4239 Ph: (401) 789-5770 |
Diane E Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Dr. John Jefferys Bandola, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Kenyon Ave, Suite 326, Wakefield, RI 02879 Phone: 401-789-8543 Fax: 401-782-8766 | |
Dr. Aaron Weisbord, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 70 Kenyon Ave, Suite 321, Wakefield, RI 02879 Phone: 401-789-5770 Fax: 407-789-8530 | |
Dr. Robert Charles Kornas, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-788-1590 Fax: 401-788-1593 | |
Sylvia Vania Alarcon Velasco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-783-6670 Fax: 401-789-4990 | |
Dr. Judith M Gilmore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Salt Pond Rd, Suite G2, Wakefield, RI 02879 Phone: 401-788-8940 Fax: 401-515-2670 |