DR. SCOTT D. BODEN (NPI# 1134234990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134234990 |
| Entity Type | Individual |
| Full Name | DR. SCOTT D. BODEN |
| Credential | M.D. |
| Practice Address |
59 Executive Park South Ne Suite 3000 Atlanta GA 30329-2208 |
| Practice Telephone | 4047787143 |
| Practice Fax Number | 4047787117 |
| Mailing Telephone | 4047787143 |
| Mailing Fax Number | 4047787117 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
035566 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497927 | Scott E. Boden | Physical Therapist | 1615b N Main Street Ext, Butler, PA 16001-1512 | 2005-06-16 |
| 1811964026 | Scott A. Boden | Emergency Medicine | 71 Haynes St, Manchester, CT 06040-4131 | 2006-03-07 |
| Street Address |
59 EXECUTIVE PARK SOUTH NE SUITE 3000 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528025228 | John G Heller | Orthopaedic Surgery | 59 Executive Park South Ne, Ste 3000, Atlanta, GA 30329 | 2006-04-27 |
| 1346788387 | Tracy Chapin Ruska | Nurse Practitioner | 59 Executive Park South Ne, Suite 2092, Atlanta, GA 30329-2208 | 2017-02-10 |
| 1295197036 | Chelsea Denise Frost | Physical Medicine & Rehabilitation | 59 Executive Park South Ne, Atlanta, GA 30329-2208 | 2016-03-22 |
| 1609287085 | Hardeep Singh | Orthopaedic Surgery | 59 Executive Park South Ne, Atlanta, GA 30329-2208 | 2014-05-19 |
| 1720366339 | Preethi Ratakonda | Radiology | 59 Executive Park South Ne, Atlanta, GA 30329-2208 | 2011-07-31 |
| 1235450800 | Lisa Marie Resutek | Physical Therapist | 59 Executive Park South Ne, Atlanta, GA 30329-2208 | 2010-06-18 |
| 1669689865 | William Beckworth | Physical Medicine & Rehabilitation | 59 Executive Park South Ne, Atlanta, GA 30329-2208 | 2007-05-17 |
| 1134257686 | Denise Coultes | Nurse Practitioner | 59 Executive Park South Ne, Suite 2090, Atlanta, GA 30329-2208 | 2007-02-28 |
| 1588792014 | Andre J Roy | Nurse Practitioner | 59 Executive Park South Ne, Suite 2085, Atlanta, GA 30329-2208 | 2007-02-28 |
| 1205983178 | Nicholas David Fletcher | Orthopaedic Surgery | 59 Executive Park South Ne, Suite 2000, Atlanta, GA 30329-2208 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184122962 | Spine Cin of Atlanta LLC | Orthopaedic Surgery | 10 Glenlake Pkwy Ste 130a, Atlanta, GA 30328-3495 | 2018-01-26 |
| 1295243061 | Joint Replacement Cin of Atlanta LLC | Orthopaedic Surgery | 10 Glenlake Pkwy # 130b, Atlanta, GA 30328-3495 | 2018-01-16 |
| 1588056873 | Spinecentersavannah, LLC | Orthopaedic Surgery | 1266 W Paces Ferry Rd Nw, Box 437, Atlanta, GA 30327-2306 | 2015-02-24 |
| 1851455877 | Plas T James | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 500, Atlanta, GA 30327-1659 | 2006-12-21 |
| 1992810105 | Sangwook Tim Yoon | Orthopaedic Surgery | 59 Executive Park South Ne Ste 3000, Atlanta, GA 30329-2208 | 2006-08-20 |
| 1851945356 | Summer Beckett Davies | Orthopaedic Surgery | 265 Boulevard Ne, Atlanta, GA 30312-1208 | 2019-08-01 |
| 1194288878 | Sga Care of Ga II, LLC | Orthopaedic Surgery | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2019-04-10 |
| 1366905044 | Sga Care of Ga, LLC | Orthopaedic Surgery | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2019-04-10 |
| 1326433632 | Zachary Grabel | Orthopaedic Surgery | 57 Executive Park S, Atlanta, GA 30329-2288 | 2015-04-02 |
| 1255535209 | Atlanta Spine Institute | Orthopaedic Surgery | 3200 Downwood Cir Nw, Suite 500, Atlanta, GA 30327-1610 | 2007-06-13 |
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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.