STEPHANIE BOOMS MD – NPI #1912342460
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

STEPHANIE BOOMS is a physician located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1912342460 to STEPHANIE BOOMS on May 09, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Jun 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEPHANIE BOOMS below.

NPI Profile for
STEPHANIE BOOMS

NPI Number
1912342460
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STEPHANIE BOOMS
Credentials
MD
Primary location
8101 CLEARVISTA PKWY STE 185
INDIANAPOLIS, IN 46256-4691
Phone: (317) 621-9000 Fax: (317) 621-9190
1 Other location(s):
9669 E 146th St Ste 300
Noblesville, IN 46060-5006
Phone: (317) 621-9000
Fax: (317) 621-9190
Mailing address
8325 CENTRAL AVE
INDIANAPOLIS, IN 46240-2230
Phone: (810) 434-1159 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
IN 01076731A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.