Mary Rose Boehm MD PA
NPI 1053402156ActiveOrganization· Internal Medicine· Clermont, FL
Internal Medicine in Clermont, Florida, registered in NPPES in September 2006. The authorized official on file is Mary Rose Boehm, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053402156 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME 88288 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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