BODEVOLVE LLC (NPI# 1407100837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407100837 |
| Entity Type | Organization |
| Organization Name | BODEVOLVE LLC |
| Practice Address |
1000 N Davis Dr Suite B Arlington TX 76012-3202 |
| Practice Telephone | 8173420232 |
| Practice Fax Number | 8172751401 |
| Mailing Telephone | 8173420232 |
| Mailing Fax Number | 8172751401 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | CLAYTON A FRENZEL (CEO) |
| Authorized Official Telephone | 8173420232 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 N DAVIS DR SUITE B |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972556181 | Joseph William Stephens IIi | Plastic Surgery | 1000 N Davis Dr, Suite B, Arlington, TX 76012-3202 | 2006-05-18 |
| 1205208410 | Keystone Anesthesia Partners Pllc | Anesthesiology | 1000 N Davis Dr, Suiite C, Arlington, TX 76012-3202 | 2015-10-27 |
| 1992062608 | The Ac Surgery Center LLC | Clinic/Center | 1000 N Davis Dr, Suite B, Arlington, TX 76012-3202 | 2012-04-19 |
| 1649548942 | Mobile Medical Examiners | Clinical Medical Laboratory | 1000 N Davis Dr, Suite D, Arlington, TX 76012-3202 | 2011-12-01 |
| 1922397652 | Dr Clayton A Frenzel P.a. | Internal Medicine | 1000 N Davis Dr, Ste B, Arlington, TX 76012-3202 | 2011-04-04 |
| 1922156124 | Comprehensive Medical Services of Texas,llc | Personal Emergency Response Attendant | 1000 N Davis Dr, Suite C, Arlington, TX 76012-3202 | 2007-01-07 |
| 1346259082 | Chili Robinson | Plastic Surgery | 1000 N Davis Dr, Suite B, Arlington, TX 76012-3202 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1487263059 | Zoe Alanna Riecker | Physician Assistant | 1045 N Utah St Apt 601, Arlington, VA 22201-5754 | 2020-07-29 |
| 1194375360 | Casey Ann Cohen | Physician Assistant | 69 Princeton Rd, Arlington, MA 02474-8252 | 2019-09-18 |
| 1619521150 | Sarah Elizabeth Young | Physician Assistant | 1601 23rd St S, Arlington, VA 22202 | 2019-08-01 |
| 1598226920 | Huong Truong-hoai Pham | Physician Assistant | 4860 Matlock Rd Ste 140, Arlington, TX 76018-5657 | 2019-03-28 |
| 1841756434 | Ailey Pham | Physician Assistant | 800 W Arbrook Blvd Ste 100, Arlington, TX 76015-4316 | 2019-02-19 |
| 1972081164 | Anastasia Elizabeth Grebeck | Physician Assistant | 200 N Glebe Rd Ste 316, Arlington, VA 22203-3755 | 2018-07-31 |
| 1740789106 | Brentton Tyler Lowery | Physician Assistant | 200 E Division St, Arlington, TX 76011-7507 | 2018-02-12 |
| 1669907762 | Brittany Christopher | Physician Assistant | 1625 N George Mason Dr Ste 315, Arlington, VA 22205-3690 | 2017-04-26 |
| 1477096345 | Jennifer Hinders | Physician Assistant | 11779 Village Center St, Arlington, TN 38002-5893 | 2016-11-28 |
| Find all providers in ARLINGTON | ||||
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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.