DR. DOUGLAS KENT BOEHM MD
NPI 1215923172
Internal Medicine - Cardiovascular Disease in Saint Paul, MN

Q: What is Douglas Boehm's NPI number?

The NPI number for Douglas Boehm is 1215923172. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Douglas Boehm's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Boehm was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2005

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-4887 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2019, Dec 3, 2018, Aug 8, 2018 (3 updates tracked since 2018).

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About Dr. Douglas Kent Boehm Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS KENT BOEHM MD (NPI 1215923172) is an individual cardiovascular disease provider in Saint Paul, Minnesota, licensed in Minnesota (65012) and active in the NPI registry since September 2005. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215923172

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. DOUGLAS KENT BOEHMCredential: MD

Location Address640 JACKSON STSaint Paul, MN 55101

Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516 · (651) 254-4887

Phone(651) 254-4887

Sole ProprietorNo

Enumeration DateSeptember 26, 2005

Last NPPES UpdateFebruary 7, 20193 updates tracked since enumeration

✔ NPI 1215923172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MN · 65012

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

640 JACKSON ST, Saint Paul, MN 55101

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Secondary Practice Locations 2

Location 1400 Burdick Expy EMinot, ND 58701-4768 · Phone (701) 857-7840

Location 2777 Hospital Way Bldg A, Ste. 101Pocatello, ID 83201-2753 · Phone (208) 234-2001 · Fax (208) 232-2195

Other Identifiers 1

Medicaid003605800ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine