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KATHLEEN D. BOHNKE M.D. NPI 1801870639


NPI Information

NPI: 1801870639
Provider Name: KATHLEEN D. BOHNKE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11123 PARKVIEW PLAZA DR
SUITE 106
FORT WAYNE, IN
ZIP 46845
Phone: (260) 672-6550
Get Directions

Kathleen D. Bohnke, M.D. is a pediatrics in Fort Wayne, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Kathleen D. Bohnke, M.D. NPI is 1801870639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11123 PARKVIEW PLAZA DR
SUITE 106
FORT WAYNE, IN
ZIP 46845-707
Phone: (260) 672-6550
Fax: (260) 672-6559

The NPI 1801870639 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 12/5/2005 and was last updated on 11/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine01049000AINDIANANo
2208000000XPediatrics01049000AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100002092719 02OTHERUNITED HEALTHCARE
23937240024OTHERINDIANAMEDICARE DMEPOS
37762243OTHERAETNA
4200342340MEDICAIDINDIANA
512182OTHERINDIANAPHYSICIANS HEALTH PLAN
63937240021OTHERINDIANAMEDICARE DMEPOS
7000000200308OTHERINDIANAANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.