MR. JOHN HEBER BODEN (NPI# 1114997418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114997418 |
| Entity Type | Individual |
| Full Name | MR. JOHN HEBER BODEN |
| Credential | M.D. |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-8905 |
| Mailing Address |
Po Box 751461 Charleston SC 28275-1461 |
| Practice Telephone | 2539685495 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 32434 | SC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 23537 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952329351 | John Ellis Boden | Counselor | 1258 W South Jordan Pkwy, Suite 202, South Jordan, UT 84095-4711 | 2006-07-17 |
| 1417937707 | John M Boden | Internal Medicine | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2006-01-20 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073951240 | Maxine Amy Harvey | Ophthalmology | 9040 Jackson Ave Madigan Army Medical Ctr, Tacoma, WA 98431-4504 | 2013-06-11 |
| 1053534347 | St Marks Eye Institute Inc | Ophthalmology | 502 S 'm' St, Tacoma, WA 98405 | 2007-04-11 |
| 1396890653 | Charles William Rance | Ophthalmology | 1901 S Union Ave Ste A211, Allenmore Medical Center, Tacoma, WA 98405-1709 | 2007-01-24 |
| 1467510826 | Hsushi Yeh | Ophthalmology | 1311 South Union Avenue, Suite 101, Tacoma, WA 98405-1959 | 2006-12-05 |
| 1326150657 | Jonathan Christian Bahmiller | Ophthalmology | 2115 South 56th Street, Suite 103, Tacoma, WA 98388 | 2006-08-31 |
| 1922012582 | Andrew Davis | Ophthalmology | 9040a Fitzsimmons St, Tacoma, WA 98433-2010 | 2006-07-28 |
| 1285664375 | Victor W Chiu | Ophthalmology | 3602 S 19th Street, Tacoma, WA 98405 | 2006-07-04 |
| 1386683837 | Francis T Geissler | Ophthalmology | 4707 S 19th St, Ste 210, Tacoma, WA 98405-1151 | 2006-06-06 |
| 1851365316 | Darryl Jay Ainbinder | Ophthalmology | Madigan Army Medical Center Mchj-sou, Tacoma, WA 98431-0001 | 2006-02-13 |
| 1689647109 | Mark Lewis Nelson | Ophthalmology | 2245 S 19th St, 200, Tacoma, WA 98405-2945 | 2006-02-08 |
| Find all providers in TACOMA | ||||
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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.