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Dr. Douglas L Boertje

Pediatric Emergency Physician

501 S Sharon Amity Rd Ste 300
Charlotte , North Carolina 28211-0035

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Dr. Douglas L Boertje

Pediatric Emergency Physician

501 S Sharon Amity Rd Ste 300
Charlotte , North Carolina 28211-0035

(704) 377-2687

Write a Review Save Call

Dr. Douglas L Boertje

Pediatric Emergency Physician

501 S Sharon Amity Rd Ste 300
Charlotte , North Carolina 28211-0035

(704) 377-2687 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Emergency Physician

Languages spoken

  • English

Location

501 S Sharon Amity Rd Ste 300 Charlotte , North Carolina 28211-0035

First Address

  • Dr. Douglas L Boertje
  • 501 S Sharon Amity Rd Ste 300
  • Charlotte, NC
  • Zip : 28211-0035
  • Fax : (704) 377-2687
  • Phone : (704) 377-2424

Second Address

  • Dr. Douglas L Boertje
  • 501 S Sharon Amity Rd Ste 300
  • Charlotte, NC
  • Zip : 28211-0035
  • Fax : (704) 377-2687
  • Phone : (704) 377-2424

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FAQs


Where did Dr. Douglas L Boertje attend graduate school?

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Where did Dr. Douglas L Boertje do his residency?

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Where did Dr. Douglas L Boertje do his fellowship?

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Is Dr. Douglas L Boertje board certified?

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What type of doctor is Dr. Douglas L Boertje

Pediatric Emergency Physician

In what state does Dr. Douglas L Boertje practice in?

North Carolina

Where is Dr. Douglas L Boertje ’s practice located?

501 S Sharon Amity Rd Ste 300 , Charlotte, North Carolina, 28211-0035

What is Dr. Douglas L Boertje ’s gender?

Male

Is Dr. Douglas L Boertje a sole practitioner?

No

Is Dr. Douglas L Boertje accepting new patients?

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What languages does Dr. Douglas L Boertje speak?

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Does Dr. Douglas L Boertje accept insurance?

Yes, Dr. Douglas L Boertje accepts insurance

Does Dr. Douglas L Boertje offers telemedicine?

Dr. Douglas L Boertje has not indicated if he offers telemedicine

What is Dr. Douglas L Boertje ’s professional license number?

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What is Dr. Douglas L Boertje ’s NPI number?

1558361246

Does Dr. Douglas L Boertje have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207PP0204X Pediatric Emergency Physician 2006-01516 NC
N 207PP0204X Pediatric Emergency Physician 36257 TN

National Provider Identifier

NPI 1558361246
Provider Name Dr. Douglas L Boertje
First Address Charlotte, NC 28211-0035
Second Address Charlotte, NC 28211-0035
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/07/2005
Last Update Date 28/11/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
59-05661 (05) NC
H65238 (02) TN
N01517 SC MEDICAID (01) SC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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