DR. MICHAEL JAMES BODMAN (NPI# 1386615144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386615144 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAMES BODMAN |
| Credential | DPM |
| Practice Address |
21245 Lorain Rd Suite 115 Fairview Park OH 44126-2146 |
| Practice Telephone | 4403561989 |
| Practice Fax Number | 4403565944 |
| Mailing Telephone | 4403561989 |
| Mailing Fax Number | 4403565944 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
36003254 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 341944827 | 01 |
| OH | BLUE CROSS AND BLUE SHIELD | 000000210952 | 01 |
| OH | RAILROAD MEDICARE | 480033770 | 01 |
| OH | 2250184 | 05 |
| Street Address |
21245 LORAIN RD SUITE 115 |
| City | FAIRVIEW PARK |
| State | OH |
| Zip Code | 44126-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943970 | Myron A Bodman | Podiatrist | 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126-2140 | 2005-06-28 |
| 1215335013 | Jennifer Leah Erhardt | Nurse Practitioner | 21245 Lorain Rd, Ste 206, Fairview Park, OH 44126-2140 | 2014-12-10 |
| 1902245087 | Buthayna A Dinary | Internal Medicine | 21245 Lorain Rd, Fairview Park, OH 44126-2146 | 2013-06-21 |
| 1437445640 | Rachel Elizabeth Johnson | Podiatrist | 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126-2146 | 2011-06-26 |
| 1114114634 | North Coast Ophthalmology Associates Inc | Ophthalmology | 21245 Lorain Rd, Ll100, Fairview Park, OH 44126-2146 | 2007-09-28 |
| 1508961533 | Thaddeus Jude John Mandato | Dentist | 21245 Lorain Rd, Suite 100, Fairview Park, OH 44126-2146 | 2006-09-14 |
| 1568567501 | Thaddeus J. Mandato, D.d.s., Inc. | Dentist | 21245 Lorain Rd, Suite 100, Fairview Park, OH 44126-2146 | 2006-09-14 |
| 1346352994 | Nancy Mcbride Md Robert Riley Md Inc | Internal Medicine | 21245 Lorain Rd, Suite 206, Fairview Park, OH 44126-2146 | 2006-08-31 |
| 1629078365 | James R Conforto | Ophthalmology | 21245 Lorain Rd, Ll100, Fairview Park, OH 44126-2146 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031506 | Robert Hutman Leathers | Home Health Aide | 22371 Lorain Road, Fairview Park, OH 44126 | 2020-07-30 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1649810821 | John P Meehan | Counselor | 21139 Lorain Rd 12, Fairview, OH 44126 | 2020-01-15 |
| 1356856306 | Cynthia Takaht | Counselor | 20800 Westgate #200, Fairview Park, OH 44126 | 2017-12-12 |
| 1205383759 | Ashraf M.a Abushahin | Student in an Organized Health Care Education/Training Program | 20120 Lorain Raod, Apartment 602, Fairview Park, OH 44126 | 2016-09-01 |
| 1760853311 | Laveena A Meriga | Nurse Practitioner | 21358 Ellen Dr, Fairview Park, OH 44126 | 2015-10-08 |
| 1023425899 | Rafif Mousa | Obstetrics & Gynecology | 21500 Lorain Rd, Fairview Park, OH 44126 | 2014-07-14 |
| 1366878514 | Michael J Rudolph | Counselor | 20800 Westgate Prof Center, Suite 200, Fairview, OH 44126 | 2013-09-19 |
| 1336497924 | Dental 32 LLC | Dentist | 22640 Lorain Road, Fairview Park, OH 44126 | 2012-08-29 |
| 1871755660 | Varun Dixit | General Acute Care Hospital | 20120 Lorain Road, Apt 412, Fairview Park, OH 44126 | 2008-07-02 |
| Find all providers in zip 44126 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943970 | Myron A Bodman | Podiatrist | 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126-2140 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023361318 | Lara S Poduska Dpm LLC | Podiatrist | 24816 Aurora Rd Ste A, Bedford Heights, OH 44146-6908 | 2012-10-24 |
| 1598037467 | David L. Beatty Dpm PC | Podiatrist | 125 N Water St, Paulding, OH 45879-1245 | 2012-02-07 |
| 1750677829 | Elizabeth Gero | Podiatrist | 10701 East Blvd # 112bw, Cleveland, OH 44106-1702 | 2011-06-27 |
| 1841433703 | Home Visit Podiatrists, Inc. | Podiatrist | 2010 Wayland Ave, Cincinnati, OH 45212-3708 | 2009-04-08 |
| 1023250248 | Podiatry Home Health Care | Podiatrist | 5683 Pearl Rd, Parma, OH 44129-2528 | 2009-04-02 |
| 1982850525 | Richard A Raabe Dpm Inc | Podiatrist | 128 Wertz Ave Nw Ste A, Canton, OH 44708 | 2008-08-14 |
| 1225214125 | Louis L. Endress Dpm | Podiatrist | 2914 Cleveland Rd, Wooster, OH 44691-1655 | 2008-01-10 |
| 1457533622 | James D. Robinette, Dpm, Inc. | Podiatrist | 5932 Colerain Ave, Cincinnati, OH 45239-6414 | 2007-11-29 |
| 1336352038 | Laser Foot Care Center, Inc | Podiatrist | 2495 Olentangy Dr, Akron, OH 44333-2831 | 2007-05-08 |
| 1932237922 | Thomas Joseph Javorsky | Podiatrist | 1400 S Hubbard Rd, Lowellville, OH 44436-9411 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW PARK |
| Zip Code | 44126 |
Please comment or provide details below to improve the information on DR. MICHAEL JAMES BODMAN.
| 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.