DR. MARC A. BODENHEIMER (NPI# 1598747875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598747875 |
| Entity Type | Individual |
| Full Name | DR. MARC A. BODENHEIMER |
| Credential | M.D. |
| Practice Address |
4528 Chapman Hwy Knoxville TN 37920-4359 |
| Practice Telephone | 8655793920 |
| Practice Fax Number | 8655793963 |
| Mailing Telephone | 8655793920 |
| Mailing Fax Number | 8655793963 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD28730 | TN | Allopathic & Osteopathic Physicians |
| Y | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
MD28730 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3839450 | 05 |
| Street Address |
4528 CHAPMAN HWY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205285632 | Erik Sweet | Ophthalmology | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2016-06-07 |
| 1477916682 | Adam Lassiter Carrera | Ophthalmology | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2016-04-04 |
| 1891061396 | Andrew James Anzeljc | Ophthalmology | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2012-03-29 |
| 1164611513 | Paul Benjamin Pruett | Ophthalmology | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2007-10-22 |
| 1679622997 | Baptist Eye Surgeons, Pllc | Specialist | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2007-01-09 |
| 1093738726 | Loren Nichols Cook | Ophthalmology | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2006-07-25 |
| 1720060676 | Albert K. Holmes | Ophthalmology | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2005-11-16 |
| 1003898289 | John Franklin Murchison Jr. | Ophthalmology | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2005-11-15 |
| 1811979008 | Darin S. Smith | Ophthalmology | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2005-11-15 |
| 1821070103 | Mark Y. Ivens | Ophthalmology | 4528 Chapman Hwy, Knoxville, TN 37920-4359 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 207WX0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Cornea and External Diseases Specialist |
| An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2018: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316984255 | Peter R Andrews | Ophthalmology | 1400 Dowell Springs Blvd Ste 310, Knoxville, TN 37909-2445 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063891216 | Matthew Lee Hartman | Ophthalmology | 393 Nichol Mill Ln Ste 30, Franklin, TN 37067-8324 | 2015-05-20 |
Please comment or provide details below to improve the information on DR. MARC A. BODENHEIMER.
| 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.