DR. EDWARD JAMES BODMER (NPI# 1801882006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801882006 |
| Entity Type | Individual |
| Full Name | DR. EDWARD JAMES BODMER |
| Credential | DPM |
| Practice Address |
9765 E Dead Sure Pl Gold Canyon AZ 85218-7176 |
| Mailing Address |
6499 S Kings Ranch Rd Ste 6 Gold Canyon AZ 85118-2920 |
| Practice Telephone | 4803633066 |
| Practice Fax Number | 4809838153 |
| Mailing Telephone | 4809828137 |
| Mailing Fax Number | 4809838153 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0152 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE GROUP | 118594 | 01 |
| Street Address |
9765 E DEAD SURE PL |
| City | GOLD CANYON |
| State | AZ |
| Zip Code | 85218-7176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245423219 | E. James Bodmer, D.p.m., PC | Clinic/Center | 9765 E Dead Sure Pl, Gold Canyon, AZ 85218-7176 | 2007-08-23 |
| 1871674234 | Edward J Bodmer Dpm PC | Podiatrist | 9765 E Dead Sure Pl, Gold Canyon, AZ 85218-7176 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568585339 | Danielle Bailey | Physical Therapist | 7527 E Elderberry Way, Gold Canyon, AZ 85218 | 2007-04-09 |
| 1740314863 | Michael Stephen Grams | Dentist | 6900 E Hwy 60, Suite 110, Gold Canyon, AZ 85218 | 2007-03-14 |
| 1629138367 | Superstition Mountain Dental, Inc. | Dentist | 5331 S. Superstition Springs Dr., Ste. 108, Gold Canyon, AZ 85218 | 2006-12-11 |
| 1295729853 | Bobbi D Lancaster | Family Medicine | 2421 S Rainbows End, Gold Canyon, AZ 85218 | 2005-09-09 |
| 1285709535 | Franklin D Hulme | Dentist | 6804 S Kings Ranch Rd, # 102, Gold Canyon, AZ 85218 | 2006-11-22 |
| 1902018781 | Jeanette Rosalie Shapiro | Social Worker | 15996 E. Hwy. 60 #394, 15976 E. Hwy. 60 #394, Apache Junction, AZ 85218-0218 | 2007-05-04 |
| 1447492418 | Linda Anne Wahby | Emergency Medicine | 7520 E Golden Eagle Cir, Gold Canyon, AZ 85218-1722 | 2009-04-06 |
| 1629217476 | Leanna Rae Bond | Dental Hygienist | 6975 E San Cristobal Way, Gold Canyon, AZ 85218-1846 | 2009-02-17 |
| 1750330056 | Gregory G. Ames | Emergency Medicine | 5301 S Superstition Mountain Dr, Suite 104-476, Gold Canyon, AZ 85218-1919 | 2006-05-06 |
| 1285703959 | Lars John Carlson | Optometrist | 5301 S Superstition Mountain Dr, Gold Canyon, AZ 85218-1919 | 2006-11-07 |
| Find all providers in zip 85218 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871674234 | Edward J Bodmer Dpm PC | Podiatrist | 9765 E Dead Sure Pl, Gold Canyon, AZ 85218-7176 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456447 | Foot & Ankle Specialists of Arizona | Podiatrist | 14973 W Bell Rd Ste 110, Surprise, AZ 85374-3236 | 2020-08-04 |
| 1144838368 | Stocks Podiatry LLC | Podiatrist | 3229 E Malapai Dr, Phoenix, AZ 85028-4954 | 2020-07-14 |
| 1619592896 | Dr Kimble Foot Specialist, P.l.l.c. | Podiatrist | 522 N Central Ave Ste 831, Phoenix, AZ 85004-2185 | 2020-06-12 |
| 1760006290 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 600 S Dobson Rd Ste E40, Chandler, AZ 85224-5693 | 2020-06-01 |
| 1144840273 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 2680 S Val Vista Dr Ste 177, Gilbert, AZ 85295-1674 | 2020-04-18 |
| 1518420777 | Gfservices, Pllc | Podiatrist | 5352 E Estevan Rd, Phoenix, AZ 85054-7211 | 2019-04-12 |
| 1811463946 | Jeffrey E. Mcalister, Pllc | Podiatrist | 7301 E 2nd St Ste 206, Scottsdale, AZ 85251-5610 | 2018-10-16 |
| 1457835829 | Prompt Foot and Ankle Pllc | Podiatrist | 9046 N 28th St, Phoenix, AZ 85028-4703 | 2018-09-20 |
| 1770941353 | Rachel A. Janowicz, Dpm, Pllc | Podiatrist | 11539 N 128th Pl, Scottsdale, AZ 85259-3530 | 2016-02-10 |
| 1497179006 | R & T Foot & Ankle | Podiatrist | 13065 W. Mcdowell Rd., Suite C101, Avondale, AZ 85392 | 2014-02-18 |
| Find all providers with the same taxonomy | ||||
| City | GOLD CANYON |
| Zip Code | 85218 |
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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.