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TAYT BOECKHOLT MD
NPI 1407606080
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 25, 2024
22151 MOROSS RD STE 214, DETROIT, MI 48236(313) 343-4867(313) 343-3280 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tayt Boeckholt Md NPPES

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

TAYT BOECKHOLT MD (NPI 1407606080) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1407606080
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTAYT BOECKHOLTCredential: MD
Location Address22151 MOROSS RD STE 214Detroit, MI 48236-2151
Mailing Address22151 Moross Rd Ste 214Detroit, MI 48236-2151 · (313) 343-4867 · Fax (313) 343-3280
Phone(313) 343-4867
Fax(313) 343-3280
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1407606080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22151 MOROSS RD STE 214, Detroit, MI 48236
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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.

NOUR HASSAN MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
KIRAN BOYINEPALLY
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
CHESTER BERNARD GAUSS IV MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
DR. MUHAMMAD SAAD HAFEEZ MBBS
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
DAVID JACOB CLAUSEN MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
ISABELLA GRAHAM MD
Surgery
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
ELENA MARIA BUSUITO
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
ANDREA GALWAA
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tayt Boeckholt's NPI number?

The NPI number for Tayt Boeckholt is 1407606080. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Tayt Boeckholt located?

Tayt Boeckholt practices at 22151 Moross Rd Ste 214, Detroit, MI 48236. The listed phone number is (313) 343-4867.

What is Tayt Boeckholt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tayt Boeckholt was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.