DR. JOHN R BODKER (NPI# 1457319642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457319642 |
| Entity Type | Individual |
| Full Name | DR. JOHN R BODKER |
| Credential | M.D. |
| Practice Address |
2830 N 3rd St Phoenix AZ 85004-1042 |
| Practice Telephone | 6022741919 |
| Practice Fax Number | 6022740804 |
| Mailing Telephone | 6022741919 |
| Mailing Fax Number | 6022740804 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
13615 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 1Z7049 | 01 |
| AZ | AHCCCS | 245789 | 01 |
| AZ | BCBS | AZ0324990 | 01 |
| Street Address |
2830 N 3RD ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780690610 | Allan R. Britt | Radiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-07-31 |
| 1720012156 | James Estes Seabold | Radiology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-07-10 |
| 1477589075 | Valley Radiologists Ltd | Radiology | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2006-06-24 |
| 1730138751 | Bob A Lewis | Radiology | 11209 N Tatum Blvd, Suite #110, Phoenix, AZ 85028-3091 | 2006-05-08 |
| 1891753091 | Kenneth R Hofstetter | Radiology | 11209 N Tatum Blvd, Suite # 110, Phoenix, AZ 85028-3091 | 2006-05-04 |
| 1902896236 | Southwest Diagnostic Imaging Ltd | Radiology | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1326091786 | John Walter Millstine | Radiology | 3501 North Scottsdale Road, Suite 130, Scottsdale, AZ 85251 | 2006-05-18 |
| 1346210655 | David Anthony Emmerson | Radiology | 7158 E Desert Moon Loop, Tucson, AZ 85750-0918 | 2006-01-26 |
| 1932683257 | Associated Valley Radiologists Ltd | Radiology | 5605 W Eugie Ave Ste 110, Glendale, AZ 85304-1273 | 2018-09-21 |
| 1568805695 | Al Sardari | Radiology | 3601 S 6th Ave, Tucson, AZ 85723 | 2013-04-08 |
| 1609187418 | Icrc, P.C. | Radiology | 695 S Dobson Rd, Chandler, AZ 85224-5665 | 2010-06-25 |
| 1992925705 | Vasanti Deuskar | Radiology | 500 N. Hwy 89, Prescott, AZ 86313 | 2007-04-26 |
| 1174687388 | James M Woolfenden | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-12-21 |
| 1760557292 | Walter H Williams | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-11-21 |
| 1407823610 | Scottsdale Medical Imaging, Ltd | Radiology | 3501 N Scottsdale Rd, #130, Scottsdale, AZ 85251-5648 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
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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.