JOHN M BODEN (NPI# 1417937707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417937707 |
| Entity Type | Individual |
| Full Name | JOHN M BODEN |
| Credential | M.D. |
| Practice Address |
1000 W Moreno St Pensacola FL 32501-2316 |
| Mailing Address |
Po Box 17668 Pensacola FL 32522-7668 |
| Practice Telephone | 8504697406 |
| Mailing Telephone | (850) 469-7406 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME94719 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
ME94719 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018335000 | 05 | |
| AL | 009912342 | 05 | |
| AL | 009912339 | 05 | |
| AL | 009912341 | 05 | |
| FL | HEALTH FIRST NETWORK | D514 | 01 |
| FL | BCBS | 35016 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6879 Us Highway 98 W, Santa Rosa Beach, FL 324593257 | 8505021363 | 8506890004 |
| 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 |
| 1114997418 | John Heber Boden | Ophthalmology | 9040 Jackson Ave, Tacoma, WA 98431-8905 | 2006-01-26 |
| Street Address |
1000 W MORENO ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035249 | Amy A Roberts | Nurse Anesthetist, Certified Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2005-07-05 |
| 1487254140 | Pensacola Hospitalist Physicians, LLC | Hospitalist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2020-10-30 |
| 1558983924 | Brian Joseph Longoria | Nurse Anesthetist, Certified Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2020-05-08 |
| 1336779628 | Nova Sarah Francis | Nurse Practitioner | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2020-01-25 |
| 1457901779 | Joshua Philip Marshall | Registered Nurse | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-09-18 |
| 1518521152 | Dianne Montgomery | Physical Therapist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-29 |
| 1740844729 | David Michael Saldana | Physical Therapy Assistant | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-25 |
| 1467015446 | Nicole Woodall | Physical Therapist | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-16 |
| 1730641382 | Taylor K Brown | Dietitian, Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-03 |
| 1932661584 | Heriberto Cruz | Dietitian, Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306351275 | Mid-south Home Care Services, LLC | Internal Medicine | 5111 N 12th Ave Ste B, Pensacola, FL 32504-8918 | 2017-12-13 |
| 1730408360 | Lisa Kay Papic | Internal Medicine | 1545 Airport Blvd Ste 2000, Pensacola, FL 32504-8615 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195028 | Mid-south Home Care Services, LLC | Internal Medicine | 4776 New Broad St Ste 150, Orlando, FL 32814-6407 | 2020-05-08 |
| 1174156210 | Mid-south Home Care Services, LLC | Internal Medicine | 6161 Blue Lagoon Dr Ste 170&200, Miami, FL 33126-2057 | 2020-02-18 |
| 1003464561 | Matrix Md Corp | Internal Medicine | 987 Sw 37th Ave Apt 1011, Miami, FL 33135-4294 | 2019-08-28 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1730509670 | Jessica Elisabeth Eichler | Internal Medicine | 277 Nw 12th St, Boca Raton, FL 33432-2655 | 2014-04-18 |
| 1508284969 | Alison Jane Burt | Internal Medicine | 12901 Bruce B Downs Blvd # 19, Tampa, FL 33612 | 2014-04-02 |
| 1487076451 | Horizon Palliative Care Partners | Internal Medicine | 1961 Iowa Ave Ne, St Petersburg, FL 33703-3425 | 2014-01-10 |
| 1366712812 | Avow Care Services Incorporated | Internal Medicine | 1205 Whippoorwill Ln, Naples, FL 34105-5028 | 2011-12-30 |
| 1982998779 | Brittney Lee Katsoff | Internal Medicine | 5430 Nw33rd Avenue, Suite 106, Fort Lauderdale, FL 33309 | 2011-06-08 |
| 1669765178 | Christina Sara Philip | Internal Medicine | 12470 Telecom Drive, Ste 300w, Temple Terrace, FL 33637 | 2011-05-17 |
| 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.