MARK P BODACK (NPI# 1386635829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386635829 |
| Entity Type | Individual |
| Full Name | MARK P BODACK |
| Credential | MD |
| Practice Address |
1 Webster Ave Atrium At Sfh Poughkeepsie NY 12601-1361 |
| Mailing Address |
1 Webster Ave Atrium At Sfh Poughkeepsie NY 12601-1363 |
| Practice Telephone | 8454835780 |
| Practice Fax Number | 8454835787 |
| Mailing Telephone | 8454835780 |
| Mailing Fax Number | 8454835787 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2011-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 196328 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01849729 | 05 |
| Street Address |
1 WEBSTER AVE ATRIUM AT SFH |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500205 | Andrew Jon Chernack | Family Medicine | 1 Webster Ave, Suite 301, Poughkeepsie, NY 12601-1361 | 2005-07-01 |
| 1255757928 | University Orthopaedics,pc | Orthopaedic Surgery | 1 Webster Ave, Suite 502, Poughkeepsie, NY 12601-1361 | 2014-03-05 |
| 1235552456 | Megan Wright | Nurse Practitioner | 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 | 2014-01-23 |
| 1255612990 | Carolynn Lavigne | Physical Therapy Assistant | 1 Webster Ave, Suite 401, Poughkeepsie, NY 12601-1361 | 2011-09-08 |
| 1811294465 | William J. Senisi, M.d. P.C. | Ophthalmology | 1 Webster Ave, Suite 306, Poughkeepsie, NY 12601-1361 | 2011-02-17 |
| 1417289307 | Mid Hudson Neurosurgical Specialist, PC | Psychiatry & Neurology | 1 Webster Ave, Suite 307, Poughkeepsie, NY 12601-1361 | 2010-02-03 |
| 1720314347 | Maren Ryan Degroat | Massage Therapist | 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 | 2009-11-02 |
| 1205007549 | Gingrich Oncology Pllc | Internal Medicine | 1 Webster Ave, Poughkeepsie, NY 12601-1361 | 2008-03-14 |
| 1205011749 | Lorraine Gogreve | Occupational Therapist | 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 | 2008-01-03 |
| 1578744280 | Arnold Goran, Md Pllc | Specialist | 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 | 2007-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770001893 | Diana Varughese | Physical Medicine & Rehabilitation | 3 Neptune Rd, Poughkeepsie, NY 12601-5500 | 2017-09-08 |
| 1821604190 | Nicole R Seward | Physical Medicine & Rehabilitation | 301 Manchester Rd Ste 101, Poughkeepsie, NY 12603-2587 | 2020-09-21 |
| 1316416647 | Daniel Emery Schafer | Physical Medicine & Rehabilitation | 1910 South Rd, Poughkeepsie, NY 12601-6053 | 2018-11-15 |
| 1548739956 | Ivyrehab Physical Therapy, Pllc | Physical Medicine & Rehabilitation | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2018-11-14 |
| 1407109291 | Ttp Physician Services, Pllc | Physical Medicine & Rehabilitation | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2012-10-18 |
| 1962643866 | Richard Anthony Dentico | Physical Medicine & Rehabilitation | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2009-03-23 |
| 1821128570 | Aleksandra S Alderman | Physical Medicine & Rehabilitation | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2007-03-06 |
| 1659412559 | Lydia B Habacon | Physical Medicine & Rehabilitation | 10 Ross Cir, Poughkeepsie, NY 12601-1078 | 2007-02-12 |
| 1295872679 | New York Spine Surgery & Rehabilitation Medicine, Pllc | Physical Medicine & Rehabilitation | 243 North Rd, Suite 202s, Poughkeepsie, NY 12601-1172 | 2007-02-01 |
| 1215966734 | Amy Wierzchowski | Physical Medicine & Rehabilitation | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2006-06-30 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.