Active NPIIndividual provider

Dr. Ryan D Boehm, MD

Internal Medicine, Interventional Cardiology in Wakefield, Rhode Island

NPI Number1124342159
Practice location
70 Kenyon Ave, Wakefield, RI 02879-4239
Fax
401-889-5082
Last updated
May 28, 2026

Ryan David Boehm is an Internal Medicine, Interventional Cardiology based in Wakefield, RI. Ryan David Boehm practices in Wakefield, RI and has the professional credentials of MD. The NPI Number for Ryan David Boehm is 1124342159 and holds a License No. MD20203 (RI). The current practice location address for Ryan David Boehm is 70 Kenyon Ave, Wakefield, RI 02879-4239 and can be reached out via phone at 401-789-5770 and via fax at 401-889-5082.

Provider Profile Details

NPI Number
1124342159
Provider Name
Ryan David Boehm
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
70 Kenyon Ave, Wakefield, RI 02879-4239
Phone Number
401-789-5770
Fax Number
401-889-5082
Primary Taxonomy
Internal Medicine, Interventional Cardiology · 207RI0011X
Sole Proprietor
No
Provider Enumeration Date
March 19, 2010
Last Update Date
May 28, 2026
Certification Date
May 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Kenyon Ave
Wakefield, RI 02879-4239
Zip
02879-4239
Phone Number
401-789-5770
Fax Number
401-889-5082
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
455 Toll Gate RD
Prc And Credentialing
Warwick, RI 02886-2759
City
Warwick
State
RI
Zip
02886-2759
Phone Number
401-273-0641
Fax Number
401-273-2919

License Information

License Number
MD20203
License State
RI
Taxonomy
Internal Medicine, Interventional Cardiology · 207RI0011X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ryan D Boehm, MD?

The NPI number of Dr. Ryan D Boehm, MD is 1124342159. It was assigned on March 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Ryan D Boehm, MD?

Dr. Ryan D Boehm, MD is registered under the primary taxonomy Internal Medicine, Interventional Cardiology (code 207RI0011X), licensed in RI under license number MD20203.

Where does Dr. Ryan D Boehm, MD practice?

The practice location is 70 Kenyon Ave, Wakefield, RI 02879-4239. The office can be reached at 401-789-5770 (phone) or 401-889-5082 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124342159 directly on the NPPES registry website.

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