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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Virginia Integrative Medical | Doing Business As Name - Organization |
| Street Address |
125 PROSPERITY DR STE 500 |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22602-5361 |
| 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 Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 | ||||
| City | WINCHESTER |
| Zip Code | 22602 |
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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.