ERIC BODISH (NPI# 1114095973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114095973 |
| Entity Type | Individual |
| Full Name | ERIC BODISH |
| Credential | MD |
| Practice Address |
370 Ruddle St. Coaldale PA 18218 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 5706458127 |
| Practice Fax Number | 5706458148 |
| Mailing Telephone | 6109543383 |
| Mailing Fax Number | 6109546500 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD041190E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
370 RUDDLE ST. |
| City | COALDALE |
| State | PA |
| Zip Code | 18218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275593485 | Dilliswar Sahoo | Internal Medicine | 48 W Phillip St, Coaldale, PA 18218 | 2006-03-23 |
| 1750528212 | Rainie Leigh Werner | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218 | 2009-01-20 |
| 1366875759 | James Hanson | Specialist | 18 E Foster Ave, Coaldale, PA 18218-1007 | 2013-08-21 |
| 1710987219 | Coaldale Cardiology, Inc. | Internal Medicine | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2005-07-26 |
| 1922639228 | Jordan Lynn Nowacki | Occupational Therapist | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2020-01-27 |
| 1467098939 | Ethan Eichhorst | Occupational Therapist | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2019-11-20 |
| 1124685425 | St. Luke's Physician Group, Inc | Surgery | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2019-05-22 |
| 1396212767 | Devon M Bizarre | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2018-10-24 |
| 1932674215 | Tia M Rex | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2018-10-12 |
| 1003390840 | Sarah Lynn Matika | Dietitian, Registered | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2018-09-18 |
| Find all providers in zip 18218 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023176807 | Anne E Vonneida | Emergency Medicine | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2006-12-05 |
| 1275600785 | Joseph L Spadoni | Emergency Medicine | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2006-11-29 |
| 1194891010 | The Carbon-schuylkill Community Hospital, Inc. | Emergency Medicine | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.