BODEN FITNESS SYSTEM LLC


Address: 125 Prosperity Dr, Suite 500b, Winchester, VA 22602-5385
Phone: 5405080779

BODEN FITNESS SYSTEM LLC (NPI# 1083157499) 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) 1083157499
Entity Type Organization
Organization Name BODEN FITNESS SYSTEM LLC
Practice Address 125 Prosperity Dr
Suite 500b
Winchester
VA 22602-5385
Practice Telephone 5405080779
Practice Fax Number 5405080841
Mailing Telephone 5405080779
Mailing Fax Number 5405080841
Enumeration Date 2016-12-02
Last Update Date 2016-12-02
Authorized Official Name DR. JORDAN LE TRAN (MEDICAL DIRECTOR)
Authorized Official Telephone 5405080779
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 0101256096 VA Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICARE PTAN VV748A 01

Office Location

Street Address 125 PROSPERITY DR
SUITE 500B
City WINCHESTER
State VA
Zip Code 22602-5385

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174572283 Abel C Borromeo V Chiropractor 125 Prosperity Dr, Suite 600, Winchester, VA 22602 2006-05-08
1457883290 Virginia Integrative Medical Family Medicine 125 Prosperity Dr, Suite 500, Winchester, VA 22602-5385 2017-03-31
1982061297 Virginia Integrative Medical LLC Clinic/Center 125 Prosperity Dr, Suite 500, Winchester, VA 22602-5385 2016-01-19
1902288178 Wellco Solutions LLC Durable Medical Equipment & Medical Supplies 125 Prosperity Dr, Suite 600, Winchester, VA 22602-5385 2015-06-24
1922422476 Shenandoah Spinecare, Pllc. Chiropractor 125 Prosperity Dr, Suite 600, Winchester, VA 22602-5385 2014-02-04
1194044412 Heather Anne Milioti Chiropractor 125 Prosperity Dr, Suite 600, Winchester, VA 22602-5385 2010-05-26
1730417338 Jordan Le Tran Family Medicine 125 Prosperity Dr, Suite 500, Winchester, VA 22602-5385 2009-11-20
1346459369 Winchester Family Chiropractic Pllc Chiropractor 125 Prosperity Dr, Suite 600, Winchester, VA 22602-5319 2007-05-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689225534 Tracey Lynn Graham Nurse Practitioner 202 Heath Ct, Winchester, VA 22602 2019-09-23
1104341197 Ashley Grooms Occupational Therapist 183 Shields Dr, Winchester, VA 22602 2017-08-10
1275053183 Im Just Me Movement Local Education Agency (LEA) 100 Asbury Ct, Winchester, VA 22602 2017-06-21
1750823043 Crossroads Treatment Center of Winchester, PC Community/Behavioral Health 500 Pegasus Ct, Winchester, VA 22602 2016-11-17
1114399243 Guardianlight of Northwestern Va Incorporated Home Health 3343 Valley Ave, Unit # 700, Winchester, VA 22602 2015-10-28
1679876171 Medics Usa Medical Center Clinic/Center 290 Front Royal Pike, Winchester, VA 22602 2010-12-06
1679667216 Rebecca Sue Isenhower Psychologist 174 Costello Drive, Winchester, VA 22602 2006-10-03
1548278310 Brandon Terry Jennings Pharmacist 109 Lynnehaven Dr, Winchester, VA 22602 2006-08-04
1386690428 Alla Yurievna Golovkina-hynes Ophthalmology 158 Front Royal Pike Ste 303, Winchester, VA 22602 2006-05-26
1023617859 Galax Treatment Center, LLC Clinic/Center 290 Front Royal Pike, Winchester, VA 22602 2020-10-22
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700042876 Kimble Chiropractic, LLC Preferred Provider Organization 2905 Northwestern Pike, Winchester, VA 22603-3824 2008-07-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003381310 Audrey R. Townes Preferred Provider Organization 837 Azalea Ave, Richmond, VA 23227-3512 2018-10-12
1043717457 Chesapeake Family and Implant Dentistry LLC Preferred Provider Organization Chesapeake Family and Implant Dentistry, 516 Innovation Dr. Suite 302, Chesapeake, VA 23320 2018-04-11
1376078105 Bella Family Home Health Care Inc Preferred Provider Organization 5827 Columbia Pike Ste 316, Falls Church, VA 22041-2036 2017-04-30
1245763366 Living Made Easy Preferred Provider Organization 328 Peninsular St, Lynchburg, VA 24501-1420 2017-04-05
1225575830 Gentle Touch Home Health Care Preferred Provider Organization 3421 Vimy Ridge Ave, Norfolk, VA 23509-2041 2017-01-22
1528513835 The Healthy Living Center Foundation C/o Primary Care Specialists, Inc Preferred Provider Organization 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 2016-08-17
1962853036 James D. Cahn, Dds, P.C. Preferred Provider Organization 5225 Hickory Park Dr, Suite D, Glen Allen, VA 23059-2620 2016-06-29
1780045849 Ideal Dental Care, Inc Preferred Provider Organization 8111 Midlothian Tpke, North Chesterfield, VA 23235-5115 2016-03-16
1063871309 Childlike Faith Services, LLC Preferred Provider Organization 12417 Branner Way, 103, Chester, VA 23836-2807 2016-02-15
1366815532 Graceful Hands Preferred Provider Organization 18874 Christanna Hwy, Lawrenceville, VA 23868-2603 2015-11-10
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Competitor

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City WINCHESTER
Zip Code 22602

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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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