DR. THOMAS LEO BODENSTEINER (NPI# 1881737864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881737864 |
| Entity Type | Individual |
| Full Name | DR. THOMAS LEO BODENSTEINER |
| Credential | M.D. |
| Practice Address |
4021 S 700 E Suite 300 Salt Lake City UT 84107-2192 |
| Mailing Address |
7542 Upton Grey Ln Lincoln NE 68516-5694 |
| Practice Telephone | 8003283067 |
| Mailing Telephone | 4023288135 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 11737 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
4021 S 700 E SUITE 300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699729129 | Wilbert Abram Lyons | Psychiatry & Neurology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-05-20 |
| 1629269188 | Kirit J Desai | Dermatology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2184 | 2007-08-08 |
| 1326251752 | Rene Brown Ledbetter Jr. | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-05-08 |
| 1275745838 | James Edward Weiss | Dermatology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-05-04 |
| 1164558607 | Daria M Ivan | Physical Therapist | 4021 S 700 E, Ste. 300, Salt Lake City, UT 84107-2192 | 2007-02-26 |
| 1174600787 | Renee Warren | Pathology | 4021 S 700 E, #300, Salt Lake City, UT 84107-2192 | 2006-11-01 |
| 1609966423 | Thomas Martin Kilbridge | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-13 |
| 1518057025 | Boris Serrano Imperial | Psychiatry & Neurology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-13 |
| 1164512216 | William Siegel | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-12 |
| 1851489215 | Michael John Lynch | Internal Medicine | 4021 S 700 E, Suite300, Salt Lake City, UT 84107-2192 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753013 | Jessica Kaplan | Obstetrics & Gynecology | University of Utah University Hospital, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1326571621 | Kylie Measom Soffe | Obstetrics & Gynecology | Ob Gyn Administration 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132-2101 | 2017-04-04 |
| 1639564016 | Kristen Hansord Lilja | Obstetrics & Gynecology | 82 S 1100 E Ste 305, Salt Lake City, UT 84102-4703 | 2015-04-01 |
| 1194119172 | Irina Cassimatis | Obstetrics & Gynecology | University of Utah Obgyn Dept, 30 N 1900 East. Room 2b200, Salt Lake City, UT 84132-0001 | 2015-03-26 |
| 1033509740 | Kathryn Fay | Obstetrics & Gynecology | 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132-2209 | 2015-02-02 |
| 1932528676 | Aliye Runyan | Obstetrics & Gynecology | 30 North 1900 East 2a200, Dept of Obgyn, Salt Lake City, UT 84132 | 2014-04-09 |
| 1467870295 | Ashley Elizabeth Benson | Obstetrics & Gynecology | 30 N 9100 E, Room 2b200, Salt Lake City, UT 84132-0001 | 2014-03-29 |
| 1386088706 | Michelle Lynne Precourt Debbink | Obstetrics & Gynecology | 30 N 1900 E # 2a200, Salt Lake City, UT 84132-5000 | 2013-04-29 |
| 1427300938 | Nathan R Blue | Obstetrics & Gynecology | 30 N 1900 E # 2b200, Salt Lake City, UT 84132 | 2012-10-08 |
| 1417216516 | Robert Lee Dood | Obstetrics & Gynecology | University of Utah Health, Dept of Obgyn, 30 N 1900 E, Rm 2b200, Salt Lake City, UT 84132 | 2012-05-09 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.