MR. BOBBY GENE BOSWELL (NPI# 1841412111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841412111 |
| Entity Type | Individual |
| Full Name | MR. BOBBY GENE BOSWELL |
| Credential | ATC |
| Practice Address |
3908 Vintage Cove Modesto CA 95356 |
| Practice Telephone | 2095452820 |
| Mailing Telephone | 2095452820 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3908 VINTAGE COVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| 1659435402 | Bryn Elizabeth Miller | Dietitian, Registered | 3800 Dale Road, Health Education, Modesto, CA 95356 | 2006-12-19 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462237 | Lorenzo Aguirre | Specialist/Technologist | 1836 Lapham Dr, Modesto, CA 95354-3900 | 2020-09-17 |
| 1285278366 | Danielle Corissa York | Specialist/Technologist | 523 Glass Ln Ste 4a, Modesto, CA 95356-9233 | 2019-11-01 |
| 1659839058 | Joseph Wayne Mayhan | Specialist/Technologist | 2829 Pamplona Way, Modesto, CA 95354-2016 | 2019-03-05 |
| 1316450380 | Britney Abe | Specialist/Technologist | 4800 Sisk Rd, Modesto, CA 95356-8730 | 2017-11-13 |
| 1093241804 | Aaron Joel Severin | Specialist/Technologist | 1630 W Orangeburg Ave, Modesto, CA 95350-3805 | 2017-05-11 |
| 1861939159 | Courtney Steele | Specialist/Technologist | 1424 Fransen Ln, Modesto, CA 95355-3658 | 2017-01-24 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1265986517 | Jamie Pheap | Specialist/Technologist | 1407 Harris Ave, Modesto, CA 95351-2410 | 2016-08-03 |
| 1326591736 | Gumaro Diaz IIi | Specialist/Technologist | 326 Lelah Ave, Modesto, CA 95350-4416 | 2016-08-02 |
| 1144687856 | Lehong Sunny Hong | Specialist/Technologist | 2617 Riverbend Dr, Modesto, CA 95351-7601 | 2016-01-26 |
| Find all providers in MODESTO | ||||
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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.