JAMES E. BODOH (NPI# 1043394604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043394604 |
| Entity Type | Individual |
| Full Name | JAMES E. BODOH |
| Credential | CRNA |
| Practice Address |
W3985 County Road Nn Elkhorn WI 53121-4337 |
| Practice Telephone | 2627412037 |
| Mailing Telephone | 2627412037 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 44932 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS MN FACILITY | 27G29BO | 01 |
| MN | PREFERRED ONE | NA9031006543 | 01 |
| MN | 843042000 | 05 | |
| WI | 43282000 | 05 | |
| MN | MEDICA | 20-00293 | 01 |
| MN | HEALTHPARTNERS | HP10148 | 01 |
| MN | BCBS MN PRO FEE | 64Q23BO | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225308125 | James Timothy Bodoh | Chiropractor | 831 Critter Ct, Suite 100, Onalaska, WI 54650-8674 | 2012-01-09 |
| Street Address |
W3985 COUNTY ROAD NN |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466019 | Abdullah A Fayyad | Internal Medicine | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2005-06-10 |
| 1881202919 | Alexandra Sharapova | Dietitian, Registered | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-07-15 |
| 1619505963 | Melissa Folstad | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1700414091 | Kaitlin Pellicano | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1548898059 | Rabeea Rafiq Lodhra | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-30 |
| 1750919510 | Lindsey Elizabeth Mckee | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-28 |
| 1053873430 | Cherline Lee Rausch | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-03 |
| 1245792027 | Jazmine Jenae Smith | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-02 |
| 1669931978 | Jeffrey Allen Farvour | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-03-16 |
| 1144703778 | Brianna H Wordell | Dietitian, Registered | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943637 | Michael Poeschel | Nurse Anesthetist, Certified Registered | 2109 E Capitol Dr Ste B, Appleton, WI 54911-8726 | 2020-05-07 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1053790972 | Rest Assured Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 | 2015-05-26 |
| 1205223898 | Petagaye Tm Johnson | Nurse Anesthetist, Certified Registered | 5150 E Cheryl Pkwy Unit 301, Fitchburg, WI 53711-7659 | 2015-04-21 |
| 1568851194 | Nicholas Joseph Nuccio | Nurse Anesthetist, Certified Registered | 720 S Marquette St, #302, Racine, WI 53403-1174 | 2015-01-20 |
| 1285030452 | Garner Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 254 E Marquette St, Berlin, WI 54923-1298 | 2014-11-14 |
| 1073934048 | Lynne M Krebs Crna Sc | Nurse Anesthetist, Certified Registered | W178n9912 Rivercrest Dr Ste 102, Germantown, WI 53022-4645 | 2013-12-18 |
| 1831537679 | Roxanne Brault | Nurse Anesthetist, Certified Registered | 7929 S 66th St, Franklin, WI 53132-9281 | 2013-06-13 |
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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.