KALE D BODILY (NPI# 1174531933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174531933 |
| Entity Type | Individual |
| Full Name | KALE D BODILY |
| Credential | MD |
| Practice Address |
1608 N Stockton Hill Rd Suite 104 Kingman AZ 86401-4141 |
| Practice Telephone | 9287180180 |
| Mailing Telephone | 9287180180 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
48846 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 066608000 | 05 |
| Street Address |
1608 N STOCKTON HILL RD SUITE 104 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134136260 | Wade G Alleman | Radiology | 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401-4141 | 2006-08-02 |
| 1457788499 | Stephanie Morgando | Nurse Practitioner | 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401-4141 | 2013-10-04 |
| 1063611945 | Christopher A Porter Iv | Radiology | 1608 N Stockton Hill Rd, Kingman, AZ 86401-4141 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134136260 | Wade G Alleman | Radiology | 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401-4141 | 2006-08-02 |
| 1295775815 | Max L Terry | Radiology | 2110 Airway Ave, Kingman, AZ 86409-3652 | 2006-06-08 |
| 1124083308 | Line Medical Inc | Radiology | 750 Avenue D West, Kingman, KS 67068 | 2006-04-19 |
| 1124357660 | Kingman Radiology Associates LLC | Radiology | 2110 Airway Ave, Kingman, AZ 86409-3652 | 2009-12-11 |
| 1427284033 | Brian Christopher Goss | Radiology | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2009-06-09 |
| 1063611945 | Christopher A Porter Iv | Radiology | 1608 N Stockton Hill Rd, Kingman, AZ 86401-4141 | 2007-07-12 |
| 1184821092 | Douglas W Brandt | Radiology | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2007-07-03 |
| 1477650703 | Krishnakumar M Kotecha | Radiology | 750 W D Ave, Kingman, KS 67068 | 2006-09-20 |
| 1437254190 | Mountain West Medical Imaging, LLC | Radiology | 2110 Airway Ave, Kingman, AZ 86409-3652 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345783 | Susan Shotts | Radiology | 861 N Higley Rd Ste B101, Gilbert, AZ 85234-9602 | 2020-08-09 |
| 1841840188 | Smsj Imaging Company LLC | Radiology | 630 N Alvernon Way Ste 150, Tucson, AZ 85711-1844 | 2019-09-18 |
| 1417507765 | Smsj Imaging Company LLC | Radiology | 395 N Silverbell Rd Ste 185, Tucson, AZ 85745-2721 | 2019-09-18 |
| 1154971497 | Smsj Imaging Company LLC | Radiology | 400 W Camino Casa Verde Ste 200, Green Valley, AZ 85614-3569 | 2019-09-18 |
| 1740839786 | Smsj Imaging Company LLC | Radiology | 4892 N Stone Ave Ste 180, Tucson, AZ 85704-5761 | 2019-09-11 |
| 1689239824 | Thumb Butte Radiology, LLC | Radiology | 3120 Willow Creek Rd, Prescott, AZ 86301-6699 | 2019-05-02 |
| 1376017020 | Vpa PC | Radiology | 64 E Broadway Rd Ste 200231, Tempe, AZ 85282-1353 | 2019-01-16 |
| 1598243867 | Mdig of Florida, LLC | Radiology | 10835 N 25th Ave Ste 140, Phoenix, AZ 85029-3408 | 2018-07-30 |
| 1689182966 | Faca Vascular | Radiology | 1831 E Queen Creek Rd Ste 120, Chandler, AZ 85286-2019 | 2018-01-20 |
| 1265974836 | Teleradiology Specialists LLC | Radiology | 4813 E Piccadilly Rd, Phoenix, AZ 85018-5540 | 2016-11-13 |
| Find all providers with the same taxonomy | ||||
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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.