MICHAEL DOUGLAS BOEHM MD
NPI 1912984360
Ophthalmology in Bettendorf,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 28, 2005

Contact Information

777 Tanglefoot Ln
Bettendorf,
Post Code: 52722
Phone: (563) 323-2020
Fax: (563) 328-5694

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Michael Douglas Boehm Md in Bettendorf - Ophthalmology

Michael Douglas Boehm Md is a Ophthalmology in Bettendorf, . Michael Douglas Boehm Md practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Michael Douglas Boehm Md is 1912984360. The last update date is 2018-08-14.

Michael Douglas Boehm Md's current location address is 777 Tanglefoot Ln, Bettendorf, . You can contact this provider via phone number (563) 323-2020 and fax number (563) 328-5694. The mailing address for Michael Douglas Boehm Md is 777 Tanglefoot Ln, Bettendorf, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1912984360
Provider Name
MICHAEL DOUGLAS BOEHM MD
Gender
Male
Entity Type
Individual
Location Address
777 Tanglefoot Ln, Bettendorf,
Location Phone
(563) 323-2020
Location Fax
(563) 328-5694
Mailing Address
2001 5th St, Silvis, Illinois(IL)
Mailing Phone
309-792-2020
Mailing Fax
309-792-4753
Enumeration Date
2005-12-28
Last Update Date
2018-08-14
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
-
License No.
036-109140
License State
Illinois (IL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207W00000X Ophthalmology Physician

Ophthalmology

35141 (Iowa)
2 207WX0120X Cornea and External Diseases Specialist Physician

Ophthalmology, Cornea and External Diseases Specialist

036-109140 (Illinois)
3 207WX0120X Cornea and External Diseases Specialist Physician

Ophthalmology, Cornea and External Diseases Specialist

35141 (Iowa)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0060350 Other (non-Medicare) (01) Iowa (IA) IA Group Medicaid #
0290627 MEDICAID (05) Iowa (IA)
036109146 MEDICAID (05) Illinois (IL)
26568 Other (non-Medicare) (01) Iowa (IA) IA Group Medicare #
790930 Other (non-Medicare) (01) Illinois (IL) IL Group Medicare #

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912984360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29221888312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 29221888312
2 + 9 + 2 + 2 + 1 + 8 + 8 + 8 + 3 + 1 + 2 + 24 = 70
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1912984360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

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