GEOFFREY R BODEAU


Address: 7505 Metro Blvd, Suite 400, Edina, MN 55439
Phone: 6125732200

GEOFFREY R BODEAU (NPI# 1770534372) 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) 1770534372
Entity Type Individual
Full Name GEOFFREY R BODEAU
Credential M.D.
Practice Address 7505 Metro Blvd
Suite 400
Edina
MN 55439
Mailing Address 7505 Metro Blvd
Suite 400
Edina
MN 55439-3081
Practice Telephone 6125732200
Practice Fax Number 6125732274
Mailing Telephone 6125732200
Mailing Fax Number 6125732274
Enumeration Date 2006-05-16
Last Update Date 2018-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0904X Radiology
Specialization: Nuclear Radiology
29842 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 0533448 05
MN DAKOTA CARE 9253416 01
MN AMERICA'S PPO 22825 01
WI RAILROAD MEDICARE WI 300046433 01
MN 794265600 05
MN HEALTHPARTNERS HP12925 01
WI 32385300 05
MN MIDLANDS CHOICE INC 232903 01
MN BLUE CROSS 47Q34BO 01
MN BLUE CROSS 4T045BO 01
MN PREFERRED ONE 1006999 01
MN RAILROAD MEDCIARE MN P00126385 01
MN UCARE 108789 01

Office Location

Street Address 7505 METRO BLVD
SUITE 400
City EDINA
State MN
Zip Code 55439

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407849391 Robert A Pollock Radiology 7505 Metro Blvd, Ste 400, Edina, MN 55439 2005-08-25
1063859288 Mohammad Abbas Kassir Radiology 7505 Metro Blvd, Ste 400, Edina, MN 55439-3010 2013-05-29
1821302100 Totianna Renee Prudhomme Nurse Practitioner 7505 Metro Blvd, Suite 400, Edina, MN 55439 2010-07-29
1881919272 Vinit Amin Radiology 7505 Metro Blvd, Ste 400, Edina, MN 55439 2010-03-29
1306056130 Yasha Kayan Radiology 7505 Metro Blvd, Ste 400, Edina, MN 55439 2007-05-23
1487730594 Consulting Radiologists, Ltd Radiology 7505 Metro Blvd, Suite 400, Edina, MN 55439-3081 2006-10-31
1487674040 Kerri Lyn Harting Radiology 7505 Metro Blvd, Suite 400, Edina, MN 55439 2006-07-19
1083639397 Patrick J O'brien Radiology 7505 Metro Blvd, Suite 400, Edina, MN 55439 2006-07-13
1538184569 Mark William Doyscher Radiology 7505 Metro Blvd, Suite 400, Edina, MN 55439 2006-07-12
1134168628 Jill Marie Scholz Nurse Practitioner 7505 Metro Blvd, Suite 400, Edina, MN 55439 2006-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773601 Bryan James Jaquette Specialist/Technologist Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 2020-09-04
1063034411 Joseph E Noble Marriage & Family Therapist 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 2020-05-08
1316421050 Global Kinetics Usa Corporation Physiological Laboratory 5810 West 78th Street, Suite 210, Bloomington, MN 55439 2018-09-19
1003361601 Zainab Ismail Hassan Community Health Worker 5400 W. 70th St # 207, Edina, MN 55439 2016-08-24
1861852287 Global Linguistics Inc Interpreter 5535 Oak Glen Rd, Edina, MN 55439 2016-02-26
1063889616 Lindsey Mackereth Counselor 7117 Ohms Ln, Edina, MN 55439 2015-08-31
1851706105 Holly Beth Gaudreau Specialist/Technologist 8100 W 78th St., Suite 225, Edina, MN 55439 2014-06-25
1841504792 Michelle R Aumock Physician Assistant 8100 W 78th Street, Ste 230, Edina, MN 55439 2010-08-03
1770812174 Heather Lynn Hanson Grudzinski Counselor 7400 Metro Blvd #100-6, Edina, MN 55439 2009-12-14
1548599319 Catasys Health Minnesota, Inc. Case Management 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 2009-12-08
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Taxonomy Information

Taxonomy Code 2085N0904X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Nuclear Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700833720 Paul R Rust Radiology 7505 Metro Blvd, Ste 400, Edina, MN 55439 2006-05-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396195517 Can Ozutemiz Radiology 420 Delaware St Se, Mmc 292, Minneapolis, MN 55455 2016-06-18
1659784031 Michael Steven Clark Radiology 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2014-06-03
1285926410 Jason Robert Young Radiology 200 1st St Sw, Rochester, MN 55905-0001 2011-05-05
1659688679 Nam Ju Lee Radiology 200 1st St Sw, Rochester, MN 55905 2010-09-13
1316044621 Donovan B Reinke Radiology 500 Harvard St Se, Unit J2-300, Minneapolis, MN 55455-0363 2006-09-20
1477567535 Patrick J Peller Radiology 200 1st St Sw, Rochester, MN 55905-0001 2006-07-27
1184679185 Kenneth F Preimesberger Radiology 1221 Nicollet Ave, Suite 600, Minneapolis, MN 55403-2420 2006-05-24
1598722688 Radiologists Associated In Duluth Radiology 925 E Superior St, Suite 109, Duluth, MN 55802-2238 2006-05-01
1083689483 Douglas Collins Radiology 200 1st St Sw, Rochester, MN 55905-0001 2006-02-20
1720067770 Robert J Witte Radiology 200 1st St Sw, Rochester, MN 55905-0001 2006-01-10
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Competitor

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City EDINA
Zip Code 55439

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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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