Jeffrey Steven Boberg is a O Fallon, Missouri based male podiatrist with 43 years of experience in Podiatry. He completed his graduation from Temple University School Of Podiatric Medicine in 1981. He is also affiliated with hospitals like St Lukes Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jeffrey Steven Boberg for Podiatric Foot & Ankle Surgery is 000570 in Missouri. Jeffrey Steven Boberg is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Jeffrey Steven Boberg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
43+ years
Medical School Attended:
Temple University School Of Podiatric Medicine
Graduation Year:
1981
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
9323 Phoenix Village Pkwy, O Fallon, Missouri, 63368-4281
Phone:
636-561-0871
Fax:
636-561-5032
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4486548906
Enrollment ID:
I20040213000290
NPI Number:
1437264595
NPI Enumeration Date:
20 Aug, 2006
NPI Last Update On:
10 May, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey Steven Boberg are as mentioned below.
License Number
Specialization
State
Status
000570
Podiatric Foot & Ankle Surgery
Missouri
Primary
000570
Podiatry
Missouri
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
St Lukes Hospital (260179)
Chesterfield, MO
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jeffrey Steven Boberg is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Signature Medical Group Inc (4880598291)
42
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffrey Steven Boberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
302436829
Medicaid
Missouri
5031350001
Other
Missouri
DMERC
P00081678
Other
Missouri
RAILROAD MEDICARE
5031350002
Other
Illinois
DMERC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9323 Phoenix Village Pkwy, O Fallon, Missouri
Zip:
63368-4281
Phone Number:
636-561-0871
Fax Number:
636-561-5032
Patients can reach Jeffrey Steven Boberg at 9323 Phoenix Village Pkwy, O Fallon, Missouri or can call to book an appointment on 636-561-0871. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.