MR. ROBERT LOUIS BODEN (NPI# 1255463196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255463196 |
| Entity Type | Individual |
| Full Name | MR. ROBERT LOUIS BODEN |
| Credential | CSA |
| Practice Address |
320 Skyview Dr Paris KY 40361-1039 |
| Mailing Address |
Po Box 5327 Paris KY 40362-5327 |
| Practice Telephone | 8595146675 |
| Practice Fax Number | 8595145962 |
| Mailing Telephone | 8595146675 |
| Mailing Fax Number | 8595145962 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA044 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | NSAA | 755 | 01 |
| KY | KY BOARD OF MEDICAL LISCE | SA044 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902144959 | Robert Allan Boden | Acupuncturist | 727 Se Cass Ave, Suite 418, Roseburg, OR 97470-4982 | 2013-01-25 |
| 1548314016 | Robert Albert Boden | Dentist | 564 Uwchan Ave, Robert A Buden Dds, Exton, PA 19341 | 2007-01-22 |
| 1740374958 | Robert S Boden | Dentist | 332 West Broadway, Suite 1210, Louisville, KY 40202-2191 | 2006-10-03 |
| Street Address |
320 SKYVIEW DR |
| City | PARIS |
| State | KY |
| Zip Code | 40361-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144433145 | R.b. Surgical Assistants | Specialist/Technologist, Other | 320 Skyview Dr, Paris, KY 40361-1039 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588157739 | Maria Renee Koerner | Counselor | 5 Linville Dr., Ste 102, Paris, KY 40361 | 2018-06-12 |
| 1922353432 | Bluegrass Hearing Clinic, LLC | Audiologist | 20 E 5th St, Paris, KY 40361 | 2012-07-20 |
| 1376670828 | Robert Allen Biddle | Emergency Medicine | 4888 Lexington Rd, Paris, KY 40361 | 2007-02-28 |
| 1396801395 | Bourbon Family Dentistry | Dentist | 4223 A Lexington Rd, Paris, KY 40361 | 2006-12-28 |
| 1669535795 | Liza Levy | Family Medicine | 2017 South Main Street, Paris, KY 40361 | 2006-12-19 |
| 1114088770 | Wal-mart East, Lp | Technician/Technologist | 305 Letton Dr., Paris, KY 40361 | 2006-12-13 |
| 1235200205 | Mariam Susanne Fallahzadeh | Dentist | 4223a Lexington Road, Bourbon Family Dentistry Pllc, Paris, KY 40361 | 2006-11-13 |
| 1245313246 | Vargo Enterprises Inc | Clinical Medical Laboratory | 2017 South Main, Paris, KY 40361 | 2006-10-23 |
| 1831289131 | Kpi Therapy | Contractor | 436 Houston Oaks, Paris, KY 40361 | 2006-10-15 |
| 1184738999 | Chester Raymond Young Jr. | Family Medicine | 22 Clinic Dr, Paris, KY 40361 | 2006-08-18 |
| Find all providers in zip 40361 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427429620 | Hannah Johnson | Physician Assistant | 4359 New Shepherdsville Rd Unit 245, Bardstown, KY 40004-8004 | 2015-10-13 |
| 1558666941 | Lisa Elaine Knipp | Physician Assistant | 72 Little Current Trl, Corbin, KY 40701-8535 | 2011-01-17 |
| 1366675886 | Meadow Creek Surgical Plc | Physician Assistant | 1420 Millertown Rd, Rockholds, KY 40759-7640 | 2009-09-01 |
| 1801063698 | Lake Cumberland Surgical Consultants Psc | Physician Assistant | 350 Hospital Way Ste 270, Somerset, KY 42503-1875 | 2008-05-12 |
| 1235305905 | Michelle Denise Cole | Physician Assistant | 3240 Mount Moriah Ave, Owensboro, KY 42303-7805 | 2008-05-02 |
| 1629275011 | Beverly A. Hatcher | Physician Assistant | 1725 Ashley Cir Ste 211, Bowling Green, KY 42104-5820 | 2007-06-28 |
| 1639374465 | Neurosurgical Associates of Western Kentucky, Psc | Physician Assistant | 225 Medical Center Dr Ste 401, Paducah, KY 42003-7914 | 2007-06-20 |
| 1043345358 | Professional Surgical Assistants, Inc. | Physician Assistant | 1945 Scottsville Rd Ste B2 Pmb 397, Bowling Green, KY 42104-5836 | 2007-02-23 |
| 1124161609 | Linda Mae Moran | Physician Assistant | 275 Wedgewood Place, Paducah, KY 42001 | 2007-02-15 |
| 1689710980 | Aimee Lynne Jaquez | Physician Assistant | 208 Chippewa Dr, Apt 106, Bowling Green, KY 42103-1378 | 2007-01-30 |
| 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.