LEONARD BODELL (NPI# 1053365528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053365528 |
| Entity Type | Individual |
| Full Name | LEONARD BODELL |
| Credential | MD |
| Practice Address |
370 E Virginia Ave Ste 100 Phoenix AZ 85004-1254 |
| Mailing Address |
File 56765 Los Angeles CA 90074-6765 |
| Practice Telephone | 6022584788 |
| Practice Fax Number | 6022585131 |
| Mailing Telephone | 6024063860 |
| Mailing Fax Number | 6024066132 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
9925 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 214445 | 05 |
| Street Address |
370 E VIRGINIA AVE STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013491968 | Shannon Leipus | Physician Assistant | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2018-09-17 |
| 1336659507 | Shera Miriam Shaul | Physician Assistant | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2017-10-02 |
| 1215451356 | Amber Lynn Wachtmann | Nurse Practitioner | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2017-07-31 |
| 1235501370 | Trauma & Reconstructive Upper Extremity Specialists Pllc | Oral & Maxillofacial Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2015-10-28 |
| 1073918215 | Steven Vance Harrison IIi | Physician Assistant | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2014-10-30 |
| 1891040440 | Michael Thorpe Larsen | Plastic Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2012-07-19 |
| 1881984672 | Joshua Mirrer | Plastic Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004 | 2011-04-13 |
| 1487953840 | Kevin D Han | Plastic Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004 | 2011-03-23 |
| 1902975907 | Allen Shuyuan Liu | Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2006-11-06 |
| 1275549156 | Vivek Agrawal | Orthopaedic Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004 | 2006-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437569787 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 20333 N 19th Ave, Suite 230, Phoenix, AZ 85027-3600 | 2014-05-07 |
| 1770812828 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 3033 N 44th St Ste 360, Phoenix, AZ 85018-7276 | 2009-12-21 |
| 1679563167 | Douglas A Bobb | Orthopaedic Surgery | 15830 N 35th Ave, Phoenix, AZ 85053-7640 | 2005-10-25 |
| 1972502227 | Arizona Center for Hand Surgery PC | Orthopaedic Surgery | 370 E Virginia Ave, Suite 100, Phoenix, AZ 85004-1214 | 2005-07-19 |
| 1538166152 | Paul Zidel I | Orthopaedic Surgery | 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 | 2005-06-29 |
| 1427561893 | Osna Pllc | Orthopaedic Surgery | 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 | 2017-11-08 |
| 1295289247 | Olubukunola Ayeni | Orthopaedic Surgery | 1111 E Mcdowell Rd, Phoenix, AZ 85006 | 2016-08-08 |
| 1124361373 | Joshua William Hustedt | Orthopaedic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2013-04-05 |
| 1013269604 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 2222 E Highland Ave, Ste 425, Phoenix, AZ 85016-4872 | 2012-10-08 |
| 1568714152 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 690 N Cofco Center Ct, Ste 190, Phoenix, AZ 85008-6462 | 2012-10-08 |
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| 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.