DR. MYRON A BODMAN


Address: 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126-2140
Phone: 4403561989

DR. MYRON A BODMAN (NPI# 1316943970) 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) 1316943970
Entity Type Individual
Full Name DR. MYRON A BODMAN
Credential DPM
Practice Address 21245 Lorain Rd
Suite 115
Fairview Park
OH 44126-2140
Mailing Address 21245 Lorain Rd
Ste 115
Fairview Park
OH 44126-2140
Practice Telephone 4403561989
Practice Fax Number 4403565944
Mailing Telephone 4403561989
Mailing Fax Number 4403565944
Enumeration Date 2005-06-28
Last Update Date 2012-09-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
36-00-1747 OH Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0360041 05
OH RAILROAD MEDICARE 4800325161 01

Office Location

Street Address 21245 LORAIN RD
SUITE 115
City FAIRVIEW PARK
State OH
Zip Code 44126-2140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215335013 Jennifer Leah Erhardt Nurse Practitioner 21245 Lorain Rd, Ste 206, Fairview Park, OH 44126-2140 2014-12-10
1902245087 Buthayna A Dinary Internal Medicine 21245 Lorain Rd, Fairview Park, OH 44126-2146 2013-06-21
1437445640 Rachel Elizabeth Johnson Podiatrist 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126-2146 2011-06-26
1114114634 North Coast Ophthalmology Associates Inc Ophthalmology 21245 Lorain Rd, Ll100, Fairview Park, OH 44126-2146 2007-09-28
1508961533 Thaddeus Jude John Mandato Dentist 21245 Lorain Rd, Suite 100, Fairview Park, OH 44126-2146 2006-09-14
1568567501 Thaddeus J. Mandato, D.d.s., Inc. Dentist 21245 Lorain Rd, Suite 100, Fairview Park, OH 44126-2146 2006-09-14
1346352994 Nancy Mcbride Md Robert Riley Md Inc Internal Medicine 21245 Lorain Rd, Suite 206, Fairview Park, OH 44126-2146 2006-08-31
1386615144 Michael James Bodman Podiatrist 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126-2146 2006-01-30
1629078365 James R Conforto Ophthalmology 21245 Lorain Rd, Ll100, Fairview Park, OH 44126-2146 2005-07-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164031506 Robert Hutman Leathers Home Health Aide 22371 Lorain Road, Fairview Park, OH 44126 2020-07-30
1750916425 Rachel Martin Psychologist 20800 Westgate Professional Center #200, Fairview Park, OH 44126 2020-03-03
1649810821 John P Meehan Counselor 21139 Lorain Rd 12, Fairview, OH 44126 2020-01-15
1356856306 Cynthia Takaht Counselor 20800 Westgate #200, Fairview Park, OH 44126 2017-12-12
1205383759 Ashraf M.a Abushahin Student in an Organized Health Care Education/Training Program 20120 Lorain Raod, Apartment 602, Fairview Park, OH 44126 2016-09-01
1760853311 Laveena A Meriga Nurse Practitioner 21358 Ellen Dr, Fairview Park, OH 44126 2015-10-08
1023425899 Rafif Mousa Obstetrics & Gynecology 21500 Lorain Rd, Fairview Park, OH 44126 2014-07-14
1366878514 Michael J Rudolph Counselor 20800 Westgate Prof Center, Suite 200, Fairview, OH 44126 2013-09-19
1336497924 Dental 32 LLC Dentist 22640 Lorain Road, Fairview Park, OH 44126 2012-08-29
1871755660 Varun Dixit General Acute Care Hospital 20120 Lorain Road, Apt 412, Fairview Park, OH 44126 2008-07-02
Find all providers in zip 44126

Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386615144 Michael James Bodman Podiatrist 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126-2146 2006-01-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023361318 Lara S Poduska Dpm LLC Podiatrist 24816 Aurora Rd Ste A, Bedford Heights, OH 44146-6908 2012-10-24
1598037467 David L. Beatty Dpm PC Podiatrist 125 N Water St, Paulding, OH 45879-1245 2012-02-07
1750677829 Elizabeth Gero Podiatrist 10701 East Blvd # 112bw, Cleveland, OH 44106-1702 2011-06-27
1841433703 Home Visit Podiatrists, Inc. Podiatrist 2010 Wayland Ave, Cincinnati, OH 45212-3708 2009-04-08
1023250248 Podiatry Home Health Care Podiatrist 5683 Pearl Rd, Parma, OH 44129-2528 2009-04-02
1982850525 Richard A Raabe Dpm Inc Podiatrist 128 Wertz Ave Nw Ste A, Canton, OH 44708 2008-08-14
1225214125 Louis L. Endress Dpm Podiatrist 2914 Cleveland Rd, Wooster, OH 44691-1655 2008-01-10
1457533622 James D. Robinette, Dpm, Inc. Podiatrist 5932 Colerain Ave, Cincinnati, OH 45239-6414 2007-11-29
1336352038 Laser Foot Care Center, Inc Podiatrist 2495 Olentangy Dr, Akron, OH 44333-2831 2007-05-08
1932237922 Thomas Joseph Javorsky Podiatrist 1400 S Hubbard Rd, Lowellville, OH 44436-9411 2007-03-01
Find all providers with the same taxonomy

Competitor

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City FAIRVIEW PARK
Zip Code 44126

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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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