JAYNE BODENBACH (NPI# 1487925194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487925194 |
| Entity Type | Individual |
| Full Name | JAYNE BODENBACH |
| Credential | APRN |
| Practice Address |
4030 Smith Rd Ste 300 Cincinnati OH 45209-1974 |
| Practice Telephone | 5134213494 |
| Practice Fax Number | 5133452606 |
| Mailing Telephone | 5134213494 |
| Mailing Fax Number | 5133452606 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3007296 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN.CNP.15823 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0060635 | 05 | |
| KY | 7100201450 | 05 |
| Street Address |
4030 SMITH RD STE 300 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45209-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343008 | Todd M Bayer | Specialist | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2005-08-12 |
| 1326671405 | Dental Sleep Solutions of Cincinnati | Clinic/Center | 4030 Smith Rd, Cincinnati, OH 45209-1957 | 2020-02-18 |
| 1942734157 | Ronald J Solomon Dds Angela Ott Dds, Inc | Clinic/Center | 4030 Smith Rd, Suite 110, Cincinnati, OH 45209-1957 | 2017-04-13 |
| 1962947036 | Cranial Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 4030 Smith Rd, Suite 105, Cincinnati, OH 45209-1957 | 2016-12-28 |
| 1811369283 | Stephanie Sobol | Nurse Practitioner | 4030 Smith Rd, Suite 375, Cincinnati, OH 45209-1957 | 2015-10-26 |
| 1093103731 | Mercy Health Physicians Cincinnati, LLC | Surgery | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2015-01-05 |
| 1891040168 | Stephanie Ann Racicki | Physical Therapist | 4030 Smith Rd, Suite 375, Cincinnati, OH 45209-1957 | 2012-07-23 |
| 1083970446 | Charles Allen Huff | Nurse Practitioner | 4030 Smith Rd, Ste. 300, Cincinnati, OH 45209-1957 | 2012-04-10 |
| 1154643039 | Mohi Omer Mitiek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2010-02-19 |
| 1861688020 | Ezis & Blume Dds, Ms LLC | Dentist | 4030 Smith Rd, Suite 225, Cincinnati, OH 45209-1957 | 2007-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000661 | Rachel Elizabeth Haines | Counselor | 3805 Edwards Rd Suite 400, Cincinnati, OH 45209 | 2018-01-03 |
| 1346760162 | Michelle Piven | Social Worker | 3805 Edwards Road, Suite 400, Cincinnati, OH 45209 | 2017-06-22 |
| 1801265129 | Amanda Lanham | Speech-Language Pathologist | 3265 Madison Rd, Apt 309, Cincinnati, OH 45209 | 2015-09-16 |
| 1780941724 | Anthony Quintain Carnell | Family Medicine | 4631 Ridge Ave Ste B, Cincinnati, OH 45209 | 2012-04-16 |
| 1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1144391178 | Mayfield Spine Center LLC | Clinic/Center | 4020 Smith Road, Norwood, OH 45209 | 2006-11-13 |
| 1194810234 | James R Hawkins Md & Associates | Counselor | 2727 Madison Road, Suite 303b, Cincinnati, OH 45209 | 2006-10-04 |
| 1104866003 | John R Schroder | Internal Medicine | 3805 Edwards Rd Ste 130, Cincinnati, OH 45209 | 2006-06-08 |
| 1811937782 | Stephen R Payne | Internal Medicine | 4631 Ridge Avenue, Cincinnati, OH 45209 | 2006-06-07 |
| Find all providers in zip 45209 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639543176 | Trihealth G LLC | Nurse Practitioner | 10498 Montgomery Rd Ste D, Cincinnati, OH 45242-4416 | 2015-11-20 |
| 1104255447 | Patricia Adkins | Nurse Practitioner | 344 Princess Ct, Cincinnati, OH 45215-1013 | 2013-11-07 |
| 1922449859 | Arianna N Warfel | Nurse Practitioner | 4750 E Galbraith Rd Ste 210, Cincinnati, OH 45236-6705 | 2013-07-08 |
| 1881931764 | Mary Kay Barth | Nurse Practitioner | 5719 Kiplingwood Dr, Cincinnati, OH 45239-6609 | 2013-01-11 |
| 1215245147 | Alexis Santee Ranalli | Nurse Practitioner | 10525 Montgomery Rd., Cincinnati, OH 45242-4401 | 2010-09-14 |
| 1801929559 | Anna Maria Fox | Nurse Practitioner | 2123 Auburn Ave Ste 440, Cincinnati, OH 45219 | 2007-03-13 |
| 1346377835 | Mary Catherine Brady | Nurse Practitioner | 430 Deanview Dr, Cincinnati, OH 45224-1415 | 2007-02-28 |
| 1376603886 | Planned Parenthood Southwest Ohio Region | Nurse Practitioner | 2314 Auburn Avenue, Cincinnati, OH 45219 | 2006-12-12 |
| 1700861234 | Mindi Gardner | Nurse Practitioner | 4600 Montgomery Rd, Ste 105, Cincinnati, OH 45212-2697 | 2005-12-07 |
| 1619958436 | Pamela Phares | Nurse Practitioner | 1401 Steffen Ave, Cincinnati, OH 45215-2338 | 2005-11-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45209 |
Please comment or provide details below to improve the information on JAYNE BODENBACH.
| 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.