Individual
DAMON M BOOGAART
Active
Individual
DAMON M BOOGAART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71000544A
IN
363LF0000X
Family Nurse Practitioner
Primary
NP 08627
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297161
BC/BS #
IN
05
—
100321450
—
IN
05
—
2288117
—
OH
Enumeration date
08/02/2005
Last updated
02/09/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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