DONALD R BODNER


Address: 11100 Euclid Ave, Cleveland, OH 44106-1716
Phone: 2168445661

DONALD R BODNER (NPI# 1578597175) 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) 1578597175
Entity Type Individual
Full Name DONALD R BODNER
Credential MD
Practice Address 11100 Euclid Ave
Cleveland
OH 44106-1716
Mailing Address 24701 Euclid Ave
3rd Floor
Euclid
OH 44117-1714
Practice Telephone 2168445661
Practice Fax Number 2162866341
Enumeration Date 2006-07-10
Last Update Date 2012-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 35-044291 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH RAILROAD MEDICARE P00364270 01
OH AETNA 639506 01
OH BUCKEYE 741846 01
OH UNISON 000000216802 01
OH ANTHEM 000000025982 01
OH AETNA 0639506 01
OH UHC 1900369 01
OH WELLCARE 363367 01
OH ANTHEM 000000507513 01
OH 0441963 05

Office Location

Street Address 11100 EUCLID AVE
City CLEVELAND
State OH
Zip Code 44106-1716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801899927 Joel H. Elconin Radiology 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 2005-05-23
1386245207 Dalal Hamad A Alsaggabi Student in an Organized Health Care Education/Training Program 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-11-06
1922609809 Melanie Wolf Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-11-05
1093313918 Aryn Rose Pecoraro Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-10-13
1366058331 Harun Abukar Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-09-16
1205442290 Jessica Regan Dietitian, Registered 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-09-16
1740895960 Sara Lyn Stefano Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-09-14
1063026052 Meredith Barker Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-09-07
1124631114 Luis Augusto Palma Dallan Student in an Organized Health Care Education/Training Program 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-08-28
1023621216 Stephanie Casto Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-08-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295347706 Adeeb Oweidat Anesthesiology 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 2020-08-18
1104434240 Bradly Miner Student in an Organized Health Care Education/Training Program Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 2020-07-15
1306466974 Ho Jun Lee Student in an Organized Health Care Education/Training Program 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 2020-04-23
1528687837 Shaleeka Cornelius Student in an Organized Health Care Education/Training Program 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 2020-04-16
1598393175 Mikdat Ulas Student in an Organized Health Care Education/Training Program 111000 Euclid Avenue, Cleveland, OH 44106 2020-03-30
1790335651 Michelle Clark Home Health Aide 1794 E 87th St, Cleveland, OH 44106 2019-09-12
1881246783 Oziel Valdez Sanchez Student in an Organized Health Care Education/Training Program 11900 Euclid Ave, Cleveland, OH 44106 2019-07-10
1487216842 Betina Griens Porto Dentist 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 2019-07-05
1407417140 Rebecca Petts Dentist 9601 Chester Ave, Cleveland, OH 44106 2019-06-24
1023677259 Moeen Al Weshah Student in an Organized Health Care Education/Training Program 9601 Chester Ave # 239j3, Cleveland, OH 44106 2019-06-11
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194232876 Nathan Ying-ho Hoy Urology 9500 Euclid Ave, Q10, Cleveland, OH 44195 2018-01-04
1750808580 Clyde Alexander Kyle Urology 448 Kyle Ln Nw, Cleveland, TN 37312-6435 2017-08-23
1144607508 Johnathan Doolittle Urology 2050 E 96th St Q Building, Cleveland, OH 44195-3548 2015-05-05
1427374974 Jessica Helen Hannick Urology 11100 Euclid Ave # Rbc2311, Cleveland, OH 44106 2010-04-08
1073836623 Juan Antonio Jimenez Urology 18099 Lorain Ave Ste 141, Cleveland, OH 44111-5611 2010-03-10
1851550321 Georges-pascal Haber Urology 9500 Euclid Ave /a100, Cleveland Clinic - Urology, Cleveland, OH 44195 2008-06-09
1699947333 Anil Abraham Thomas Urology Glickman Urological Institute A100, Cleveland Clinic Foundation, Cleveland, OH 44195-0001 2008-04-01
1487826244 Matthew Neil Simmons Urology Cleveland Clinic - Glickman Urological Institute, 9500 Euclid Ave A100, Cleveland, OH 44195-0001 2008-04-01
1588833305 Hadley Merrideth Wood Urology Glickman Urological Institute/a100, 9500 Euclid Avenue, Cleveland, OH 44195-0001 2008-02-26
1982751921 Grant Pegram Simmons Urology 400 Berywood Trl Nw Ste B, Cleveland, TN 37312-5288 2007-01-04
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Competitor

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City CLEVELAND
Zip Code 44106

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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.

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