DR. SCOTT D. BODEN


Address: 59 Executive Park South Ne, Suite 3000, Atlanta, GA 30329-2208
Phone: 4047787143

DR. SCOTT D. BODEN (NPI# 1134234990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134234990
Entity Type Individual
Full Name DR. SCOTT D. BODEN
Credential M.D.
Practice Address 59 Executive Park South Ne
Suite 3000
Atlanta
GA 30329-2208
Practice Telephone 4047787143
Practice Fax Number 4047787117
Mailing Telephone 4047787143
Mailing Fax Number 4047787117
Enumeration Date 2006-08-20
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
035566 GA Allopathic & Osteopathic Physicians

Other Providers SCOTT BODEN

NPI Name Taxonomy Address Enumeration
1861497927 Scott E. Boden Physical Therapist 1615b N Main Street Ext, Butler, PA 16001-1512 2005-06-16
1811964026 Scott A. Boden Emergency Medicine 71 Haynes St, Manchester, CT 06040-4131 2006-03-07

Office Location

Street Address 59 EXECUTIVE PARK SOUTH NE
SUITE 3000
City ATLANTA
State GA
Zip Code 30329-2208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528025228 John G Heller Orthopaedic Surgery 59 Executive Park South Ne, Ste 3000, Atlanta, GA 30329 2006-04-27
1346788387 Tracy Chapin Ruska Nurse Practitioner 59 Executive Park South Ne, Suite 2092, Atlanta, GA 30329-2208 2017-02-10
1295197036 Chelsea Denise Frost Physical Medicine & Rehabilitation 59 Executive Park South Ne, Atlanta, GA 30329-2208 2016-03-22
1609287085 Hardeep Singh Orthopaedic Surgery 59 Executive Park South Ne, Atlanta, GA 30329-2208 2014-05-19
1720366339 Preethi Ratakonda Radiology 59 Executive Park South Ne, Atlanta, GA 30329-2208 2011-07-31
1235450800 Lisa Marie Resutek Physical Therapist 59 Executive Park South Ne, Atlanta, GA 30329-2208 2010-06-18
1669689865 William Beckworth Physical Medicine & Rehabilitation 59 Executive Park South Ne, Atlanta, GA 30329-2208 2007-05-17
1134257686 Denise Coultes Nurse Practitioner 59 Executive Park South Ne, Suite 2090, Atlanta, GA 30329-2208 2007-02-28
1588792014 Andre J Roy Nurse Practitioner 59 Executive Park South Ne, Suite 2085, Atlanta, GA 30329-2208 2007-02-28
1205983178 Nicholas David Fletcher Orthopaedic Surgery 59 Executive Park South Ne, Suite 2000, Atlanta, GA 30329-2208 2007-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871084111 Inner Peace Counseling Services,llc Counselor 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 2018-05-22
1912409392 Joie De Vivre Counseling and Therapy Counselor 2801 Buford Highway, Ne, Atlanta, GA 30329 2018-03-01
1902329105 Barbara Dunbar Psychologist 1777 Northeast Expressway, #175, Atlanta, GA 30329 2017-07-19
1114449048 Cricket Cheyenne Gullickson Student in an Organized Health Care Education/Training Program 1371 Briarvista Way Ne, Atlanta, GA 30329 2017-07-12
1902357866 Carla Zimmerly Nurse Practitioner 1711 Tullie Circle, Atlanta, GA 30329 2016-10-17
1316490808 Shahzad Ghori Student in an Organized Health Care Education/Training Program 1727 Druid Oaks Ne, Atlanta, GA 30329 2016-08-01
1023467768 Ashley Elliott Physician Assistant 59 Executive Park, Atlanta, GA 30329 2016-06-03
1285096115 Kimberley Fox Internal Medicine 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 2016-03-21
1275991648 Mary Patricia Joyce Internal Medicine 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 2016-02-01
1346656618 Amelia Muniz Hernandez Pediatrics 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 2014-07-08
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Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184122962 Spine Cin of Atlanta LLC Orthopaedic Surgery 10 Glenlake Pkwy Ste 130a, Atlanta, GA 30328-3495 2018-01-26
1295243061 Joint Replacement Cin of Atlanta LLC Orthopaedic Surgery 10 Glenlake Pkwy # 130b, Atlanta, GA 30328-3495 2018-01-16
1588056873 Spinecentersavannah, LLC Orthopaedic Surgery 1266 W Paces Ferry Rd Nw, Box 437, Atlanta, GA 30327-2306 2015-02-24
1851455877 Plas T James Orthopaedic Surgery 3200 Downwood Cir Nw Ste 500, Atlanta, GA 30327-1659 2006-12-21
1992810105 Sangwook Tim Yoon Orthopaedic Surgery 59 Executive Park South Ne Ste 3000, Atlanta, GA 30329-2208 2006-08-20
1851945356 Summer Beckett Davies Orthopaedic Surgery 265 Boulevard Ne, Atlanta, GA 30312-1208 2019-08-01
1194288878 Sga Care of Ga II, LLC Orthopaedic Surgery 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 2019-04-10
1366905044 Sga Care of Ga, LLC Orthopaedic Surgery 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 2019-04-10
1326433632 Zachary Grabel Orthopaedic Surgery 57 Executive Park S, Atlanta, GA 30329-2288 2015-04-02
1255535209 Atlanta Spine Institute Orthopaedic Surgery 3200 Downwood Cir Nw, Suite 500, Atlanta, GA 30327-1610 2007-06-13
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Competitor

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City ATLANTA
Zip Code 30329

Improve Information

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Dataset Information

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.

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