Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Corey Kenneth Boemer, PA

Individual provider Physician Assistant · NPI 1841714425

Mr. Corey Kenneth Boemer, PA is a Physician Assistant in Indianapolis, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1500 N Ritter Ave
Indianapolis, IN 46219-3027
Phone: (317) 355-5041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8402 Harcourt Rd Ste 125, Indianapolis, IN 46260-2094 — (317) 802-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1143433 (IN)

Record details

NPI number1841714425
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2017
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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