BODEN HEALTH SYSTEM LLC


Address: 125 Prosperity Dr Ste 500, Winchester, VA 22602-5361
Phone: 5405080651

BODEN HEALTH SYSTEM LLC (NPI# 1255851531) 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) 1255851531
Entity Type Organization
Organization Name BODEN HEALTH SYSTEM LLC
Other Organization Name VIRGINIA INTEGRATIVE MEDICAL
Practice Address 125 Prosperity Dr Ste 500
Winchester
VA 22602-5361
Mailing Address 136 Linden Dr Ste 104
Winchester
VA 22601-6900
Practice Telephone 5405080651
Practice Fax Number 5405080841
Mailing Telephone 5406783588
Mailing Fax Number 5406789025
Enumeration Date 2017-06-27
Last Update Date 2017-06-27
Authorized Official Name JORDAN L TRAN (OWNER/AUTHORIZED OFFICIAL)
Authorized Official Telephone 5405080651
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine VA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Virginia Integrative Medical Doing Business As Name - Organization

Office Location

Street Address 125 PROSPERITY DR STE 500
City WINCHESTER
State VA
Zip Code 22602-5361

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
1174572283 Abel C Borromeo V Chiropractor 125 Prosperity Dr, Suite 600, Winchester, VA 22602 2006-05-08
Find all providers in zip 22602

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679190441 Antoaneta Angelova Fitzpatrick Family Medicine 607 Pritchards Hill Ct, Winchester, VA 22601-2653 2020-06-28
1851877310 Acare Medical Center,llc Family Medicine 125 Prosperity Dr Ste 800, Winchester, VA 22602-5362 2018-07-17
1639679913 Fast Pace Medical Clinic Pllc Family Medicine 2401 Decherd Blvd, Winchester, TN 37398-1164 2018-02-13
1255842506 Valley Physician Enterprise, Inc Family Medicine 160 Merchant Street, Ste 100, Winchester, VA 22603 2017-10-13
1952750242 Morgan Santhamoorthy Family Medicine 203 Cambridge St, Winchester, MA 01890-2338 2016-06-07
1285048751 Akolea K Ioane Family Medicine 1870 Amherst St Ste 2g, Winchester, VA 22601-2841 2014-06-12
1902192941 Bryan D Grooms Family Medicine Po Box 155, Winchester, OH 45697-0155 2011-06-28
1891098620 The Family Doctor's Office Plc Family Medicine 440 W Jubal Early Dr Ste 120, Winchester, VA 22601-6319 2010-12-16
1003040072 Kentucky Bariatric, Inc Family Medicine 4925 Rockwell Road, Winchester, KY 40391-1928 2009-05-06
1760658397 Anthony Joseph Carbone Family Medicine 19 Prince Ave, Winchester, MA 01890-1329 2008-05-04
Find all providers in WINCHESTER

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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