DR. MOHD I BODA (NPI# 1285673038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285673038 |
| Entity Type | Individual |
| Full Name | DR. MOHD I BODA |
| Credential | MD |
| Practice Address |
3490 Ne Ralph Powell Rd Suite B Lees Summit MO 64064-2361 |
| Practice Telephone | 8165547100 |
| Practice Fax Number | 8164780288 |
| Mailing Telephone | 8165547100 |
| Mailing Fax Number | 8164780288 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2001025771 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205760713 | 05 | |
| KS | 200556350B | 05 | |
| OK | 200198790A | 05 |
| Street Address |
3490 NE RALPH POWELL RD SUITE B |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-2361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285919779 | Rosemary Branson Jones | Internal Medicine | 404 Poplar, Lees Summit, MO 64064-1415 | 2011-10-15 |
| 1639490030 | Timothy J Fendler | Internal Medicine | 20 Ne Saint Lukes Blvd Ste 240, Lees Summit, MO 64086 | 2010-06-20 |
| 1588838601 | J O Johnson Do PC | Internal Medicine | 604 Nw Highcliffe Dr, Lees Summit, MO 64081-2047 | 2008-04-18 |
| 1841229200 | Kathryn Clare Twenter | Internal Medicine | 3066 Sw Grandstand Cir, Lees Summit, MO 64081-3866 | 2006-06-30 |
| 1639160633 | Jonathan Gendel | Internal Medicine | 20 Ne Saint Lukes Blvd Ste 350, Lees Summit, MO 64086-6007 | 2005-10-31 |
| 1215921804 | Tamara E Crowell | Internal Medicine | 4121 Sw Leeward Dr, Lees Summit, MO 64082-4788 | 2005-09-09 |
| 1033118120 | Jennifer S Bequette | Internal Medicine | 20 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6001 | 2005-07-20 |
| 1174156343 | Lee's Summit Physicians Group - Internal Medicine LLC | Internal Medicine | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2020-02-17 |
| 1710341110 | Infinite Wellness of Kansas City | Internal Medicine | 350 Sw Greenwich Dr, Lees Summit, MO 64082-4408 | 2016-04-12 |
| 1447655915 | Dr Crowell Internal Medicine PC | Internal Medicine | 4121 Sw Leeward Dr, Lees Summit, MO 64082-4788 | 2014-10-27 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
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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.