DR. WAYNE JOSEPH BODAMER


Address: 373 Route 111, Smithtown, NY 11787-4759
Phone: 6312658802

DR. WAYNE JOSEPH BODAMER (NPI# 1457317562) 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) 1457317562
Entity Type Individual
Full Name DR. WAYNE JOSEPH BODAMER
Credential D.P.M.
Practice Address 373 Route 111
Smithtown
NY 11787-4759
Mailing Address 1641 Route 112
Medford
NY 11763-3635
Practice Telephone 6312658802
Practice Fax Number 6312658809
Mailing Telephone 6314470800
Mailing Fax Number 6314470801
Enumeration Date 2006-04-26
Last Update Date 2007-11-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
003889 NY Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY OXFORD HEALTH PLAN P368761 01
NY GHI 0056853 01
NY CIGNA HMO 0301399-007 01
NY AETNA US HEALTHCARE 96401 01
NY EMPIRE BLUECROSS/BLUE SHI P41901 01
NY HEALTHNET PPD162 01
NY MDNY AH00139 01

Office Location

Street Address 373 ROUTE 111
City SMITHTOWN
State NY
Zip Code 11787-4759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881686418 Morton B Weinberg Dermatology 373 Route 111, Suite 10, Smithtown, NY 11787-4759 2005-08-19
1073993218 Mitchell N Shapiro Dds PC Dentist 373 Route 111, Ste 16, Smithtown, NY 11787-4759 2015-06-03
1215245220 Andreas Costas Michaelides Psychologist 373 Route 111, Suite 10, Smithtown, NY 11787-4759 2010-09-24
1609103522 Morton B Weinberg Md PC Dermatology 373 Route 111, Suite 10, Smithtown, NY 11787-4759 2009-11-13
1790907566 Mitchell Neil Shapiro Dentist 373 Route 111, Suite 16, Smithtown, NY 11787-4759 2007-05-02
1881758225 Total Foot Care,pc Podiatrist 373 Route 111, Smithtown, NY 11787-4759 2006-12-20
1790846244 Mark Julian Zuckerman Psychiatry & Neurology 373 Route 111, Suite 20, Smithtown, NY 11787-4759 2006-12-12
1235201328 Elite Medical,pc Internal Medicine 373 Route 111, Suite 14, Smithtown, NY 11787-4759 2006-11-14
1093803785 Howard S Lynn Urology 373 Route 111, Suite 7, Smithtown, NY 11787-4759 2006-10-10
1215038666 Amy Shapiro Dietitian, Registered 373 Route 111, Suite 16, Smithtown, NY 11787-4759 2006-09-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962779 Gwendolyn Burris Counselor 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 2020-11-04
1467051193 Karin M Caro Adult Companion 9 Three Pond Road, Smithtown, NY 11787 2020-10-23
1639706641 Nimit Khara Student in an Organized Health Care Education/Training Program 240 Middle Country Rd A, Smithtown, NY 11787 2020-03-27
1003469032 Maria Teresa Gardella Nurse Practitioner St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 2019-07-18
1558922070 Pamella Ann Grillo Physician Assistant 373 Ny-111 #5, Smithtown, NY 11787 2019-06-25
1306308127 Sherry Hansen Social Worker 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 2019-04-01
1932663747 Kayla Roundsman Counselor 11 Route 11, Smithtown, NY 11787 2019-01-25
1568959856 Moreen Johnson Registered Nurse Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 2018-04-23
1992217871 Erica Zeller Licensed Clinical Social Work Pllc Social Worker 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 2017-10-31
1881117802 Oisin Vincent Keenan Case Manager/Care Coordinator 11 Ny-111, Smithtown, NY 11787 2017-07-21
Find all providers in zip 11787

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801237425 Anthony Vincent Zizzamia Podiatrist 260 E Middle Country Rd, Suite 104, Smithtown, NY 11787-2982 2013-07-11
1881758225 Total Foot Care,pc Podiatrist 373 Route 111, Smithtown, NY 11787-4759 2006-12-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518566108 Vu Nguyen Corp Podiatrist 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 2020-10-23
1255930079 Atlantic Podiatry Pllc Podiatrist 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 2020-10-22
1891393906 Finger Lakes Podiatry of Geneva, Pllc Podiatrist 220 Phoenix Mills Plz, Victor, NY 14564-1414 2020-10-12
1497378699 Zh Podiatrist of Westchester PC Podiatrist 150 Edgepark Rd, White Plains, NY 10603-2106 2020-05-21
1528696259 Capital District Podiatry, Pllc Podiatrist 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 2020-03-30
1629615588 Kelly Lucas Dpm PC Podiatrist 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 2019-12-10
1811544257 Christopher Chow Dpm PC Podiatrist 749 61st St Ste 503, Brooklyn, NY 11220-4211 2019-08-21
1063074565 Balance Foot and Ankle LLC Podiatrist 611 Mitchel Field Way, Garden City, NY 11530-5057 2019-07-03
1083270979 Jones Thomas Podiatrist 518 Terrace Blvd, New Hyde Park, NY 11040-4343 2019-05-15
1316419690 Rockaway Podiatry Pllc Podiatrist 1957 Flatbush Ave, Brooklyn, NY 11234-2819 2018-12-26
Find all providers with the same taxonomy

Competitor

Search similar providers

City SMITHTOWN
Zip Code 11787

Improve Information

Please comment or provide details below to improve the information on DR. WAYNE JOSEPH BODAMER.

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.

Trending Searches