LUCAS M. BOEHM M.D. – NPI #1104288430
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

LUCAS BOEHM is a plastic surgeon located in MILWAUKEE, WI. NPPES has assigned the NPI number 1104288430 to LUCAS BOEHM on March 25, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was last updated on Jan 16, 2025. 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 LUCAS BOEHM below.

NPI Profile for
LUCAS M. BOEHM

NPI Number
1104288430
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LUCAS M. BOEHM
Credentials
M.D.
Primary location
6002 N PORT WASHINGTON RD
MILWAUKEE, WI 53217-4524
Phone: (414) 439-3000 Fax:
3 Other location(s):
1818 N Meade St
Appleton, WI 54911-3454
Phone: (920) 454-5007
Fax: (920) 729-2384
1221 Phoenix St # 100
Delavan, WI 53115-2340
Phone: (262) 288-2434
130 2nd St
Neenah, WI 54956-2883
Phone: (920) 454-5007
Fax: (920) 729-2384
Mailing address
N86W14041 BEACON ST
MENOMONEE FALLS, WI 53051-3246
Phone: (414) 439-3000 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 16, 2025

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
208200000X
- Plastic Surgery (Primary)
WI 68458-20

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.