Thomas Francis Boduch (NPI# 1770588741, PAC ID# 8022133180) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1770588741 |
PAC ID by PECOS | 8022133180 |
Professional Enrollment ID | I20100913000584 |
Full Name | Thomas Francis Boduch |
Address |
314 E Spring St Kingston TN 37763-2839 |
Phone Number | 8653761212 |
Gender | M |
Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
Graduation Year | 1979 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440031 | ROANE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
314 E Spring St, Kingston, TN 37763-2839 | 8653761212 |
Street Address |
314 E SPRING ST |
City | KINGSTON |
State | TN |
Zip | 37763-2839 |
Name | Specialty | Organization | Address |
---|---|---|---|
Farzana S Iqbal | Internal Medicine | 820 W Race St, Kingston, TN 37763-2120 | |
Beverly K Glasure | Physician Assistant | Kingston Family Practice, P.C. | 820 W Race St, Kingston, TN 37763-2120 |
Dwight H Willett | Family Medicine | Kingston Family Practice, P.C. | 820 W Race St, Kingston, TN 37763-2120 |
Wanda Jean Price | Nurse Practitioner | Exac Care LLC | 930 W Race St, Kingston, TN 37763-2122 |
Adam J Hill | Nurse Practitioner | Exac Care LLC | 930 W Race St, Kingston, TN 37763-2122 |
Amanda S Ferguson | Nurse Practitioner | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
Buffy D Snow | Nurse Practitioner | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
Bhavana Vora | Family Medicine | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
Megan H Chapman | Physician Assistant | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
Stephanie A. Estes | Chiropractic | Estes Family Chiropractic and Wellness Clinic | 1190 N Kentucky St, Kingston, TN 37763-2350 |
Find all physicians in zip 37763 |
City | KINGSTON |
Zip Code | 37763 |
Specialty | FAMILY MEDICINE |
City + Specialty | KINGSTON + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.