GARY BODNARCHUK


Address: 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7913
Phone: 2704430777

GARY BODNARCHUK (NPI# 1033196084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033196084
Entity Type Individual
Full Name GARY BODNARCHUK
Credential M.D.
Practice Address 1532 Lone Oak Rd
Suite 310
Paducah
KY 42003-7913
Mailing Address Po Box 636961
Cincinnati
OH 45263-6961
Practice Telephone 2704430777
Practice Fax Number 2704430999
Mailing Telephone 5139815130
Mailing Fax Number 5139815015
Enumeration Date 2005-12-29
Last Update Date 2015-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
036.075177 IL Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
28275 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036075177 05
KY 64282759 05
KY RAIL ROAD MEDICARE P00947881 01

Office Location

Street Address 1532 LONE OAK RD
SUITE 310
City PADUCAH
State KY
Zip Code 42003-7913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922001601 James Shumaker Pediatrics 1532 Lone Oak Rd, Ste 345, Paducah, KY 42003-7942 2005-05-24
1790225977 Tiffany Lynn Cates Nurse Practitioner 1532 Lone Oak Rd, Ste 143, Paducah, KY 42003 2017-03-07
1700258183 Kimberly Jernigan Nurse Practitioner 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 2015-10-26
1235505827 Darrell New I Nurse Practitioner 1532 Lone Oak Rd, Suite 150, Paducah, KY 42003-7940 2015-08-18
1194112755 Catherine Lee Reimnitz Nurse Practitioner 1532 Lone Oak Rd, Suite 345, Paducah, KY 42003-7942 2015-04-22
1093101958 Julie Ann Emerine Heeb Nurse Practitioner 1532 Lone Oak Rd, Suite 430, Paducah, KY 42003-7913 2015-04-07
1508115007 Kristie Hack Nurse Practitioner 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 2012-08-30
1114285723 Lance D Williamson Nurse Practitioner 1532 Lone Oak Rd, Suite 315, Paducah, KY 42003-7913 2012-05-02
1730475302 Elyse A Hale Specialist/Technologist, Other 1532 Lone Oak Rd, Suite 445, Paducah, KY 42003-7913 2011-06-22
1134433931 Deborah Lynn Bray Clinical Nurse Specialist 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 2010-08-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033757638 Wilson Medical Staffing Pllc Nurse Practitioner 3130 Lone Oak Rd, Paducah, KY 42003 2019-12-13
1417415993 Lauren Deanne Mcclain Nurse Practitioner 225 Medical Center Dr Ste 205, Paducah, KY 42003 2019-03-04
1871057042 Brame Psychological Assessment Center Psychologist Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 2019-01-22
1831611219 Elizabeth Anne Wright Social Worker 425 Broadway Street, Paducah, KY 42003 2017-07-07
1558804724 Kayla Reshea Franklin Behavior Technician 2075 Husband Road, Paducah, KY 42003 2016-11-21
1699189308 Sunrise Children's Services, Inc. Foster Care Agency 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 2014-06-20
1326488891 Alice Ann Higdon Wilham Surgery 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 2013-06-28
1881924611 Meghan Ashley Lee Nurse Practitioner 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 2009-12-29
1174771018 Sleep Source Kentucky, LLC Clinic/Center 3125 Parisa Drive, Paducah, KY 42003 2008-09-04
1851547426 Zandra Bristol Farley Registered Nurse 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 2008-08-14
Find all providers in zip 42003

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972580991 Rick J Mccombs Internal Medicine 2605 Kentucky Ave Ste 202, Paducah, KY 42003-3801 2005-12-30
1407852080 Stephen W Hiltz Internal Medicine 1528 Lone Oak Rd, Paducah, KY 42003-7901 2005-06-28
1568601672 Paducah Gastroenterology Associates, Psc Internal Medicine 2605 Kentucky Ave, Suite 306, Paducah, KY 42003-3800 2009-02-12
1639356769 Western Baptist Medical Ventures, Inc. Internal Medicine 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 2008-01-31
1770643561 Bluegrass Gastroenterology, Psc Internal Medicine 225 Medical Center Dr, Suite 307, Paducah, KY 42003-7914 2006-12-11
1013934710 Lingaiah Chandrashekar Internal Medicine 225 Medical Center Dr Ste 308, Paducah, KY 42003 2006-07-17
1912976085 Russell W Carter Internal Medicine 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 2006-03-14
1356310429 Pamela A Reed Internal Medicine 2605 Kentucky Ave Ste 202, Paducah, KY 42003-3801 2006-03-14
1780652347 Timothy E Shiben Internal Medicine 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 2006-03-09
1568449510 John W. Kraus Internal Medicine 2605 Kentucky Ave, Ste 202, Paducah, KY 42003-3800 2005-12-29
Find all providers in PADUCAH

Competitor

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City PADUCAH
Zip Code 42003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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