Individual
WILLEM H BOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35-057716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224351
UNISON
—
01
—
000000539533
ANTHEM
—
01
—
0642326
AETNA
OH
05
—
0728163
—
OH
01
—
363372
WELLCARE
—
01
—
700006744
RAILROAD MEDICARE
OH
01
—
746006
BUCKEYE
OH
01
—
P00449264
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
12/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us