| Theodore J Boeve, MD | |
|
1560 E Sherman Blvd Ste 309, Muskegon, MI 49444-1850 | |
| (231) 672-8643 | |
| (231) 672-8651 |
| Full Name | Theodore J Boeve |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 1560 E Sherman Blvd Ste 309, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225000912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 4301077552 (Michigan) | Primary |
| Entity Name | Metropolitan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
| Entity Name | Mercy Health Partners Sub-specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124042700 PECOS PAC ID: 3274504105 Enrollment ID: O20040804000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore J Boeve, MD 1560 E Sherman Blvd Ste 309, Muskegon, MI 49444-1850 Ph: (231) 672-8643 | Theodore J Boeve, MD 1560 E Sherman Blvd Ste 309, Muskegon, MI 49444-1850 Ph: (231) 672-8643 |
Robert J Porter Jr., M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1316 Mercy Dr, Muskegon, MI 49444 Phone: 231-739-9461 Fax: 231-733-8131 | |
Charles O'brien, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1212 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-727-5211 Fax: 231-727-4571 |