EMILY JANE BODFISH


Address: 1204 N Main St, Marion, VA 24354-4312
Phone: 2767832511

EMILY JANE BODFISH (NPI# 1689223208) 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) 1689223208
Entity Type Individual
Full Name EMILY JANE BODFISH
Practice Address 1204 N Main St
Marion
VA 24354-4312
Mailing Address 171 Hutton St Apt 7
Abingdon
VA 24210-3492
Practice Telephone 2767832511
Enumeration Date 2019-09-06
Last Update Date 2020-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110-006874 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
26208 Lee Hwy, Abingdon, VA 242117504 2764513044

Office Location

Street Address 1204 N MAIN ST
City MARION
State VA
Zip Code 24354-4312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154371474 Amy Jo Harden Pediatrics 1204 N Main St, Marion, VA 24354-4312 2006-05-10
1548680960 Erin Alice Brickley Pediatrics 1204 N Main St, Marion, VA 24354-4312 2014-04-24
1851617831 Karen Lynn Bordwine Nurse Practitioner 1204 N Main St, Marion, VA 24354-4312 2010-04-15
1467657692 Jan Marie G Thompson Nurse Practitioner 1204 N Main St, Marion, VA 24354-4312 2007-06-18
1528070216 Mountainview Pediatrics, P.C. Pediatrics 1204 N Main St, Marion, VA 24354-4312 2006-08-12
1538119920 Rachel Marie Rogers Pediatrics 1204 N Main St, Marion, VA 24354-4312 2006-05-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407352461 Heath Andrew Nier Physical Therapist 1141 N Main St Ste 41, Marion, VA 24354 2018-03-30
1255748513 Lou Fincher Specialist/Technologist 601 Radio Hill Dr., Marion, VA 24354 2014-07-18
1467869040 Tessa Suzanne Brown Nurse Practitioner 1204 N. Main Street, Marion, VA 24354 2014-07-16
1780927129 Jessika Nikhole Schottelkotte Nurse Practitioner 245 Medical Park Dr., Marion, VA 24354 2013-04-04
1083893598 Norah Ann Nutter Nurse Practitioner 1616 N Main St Ste 100b, Marion, VA 24354 2007-10-31
1962621052 Jonathan E Rouse Durable Medical Equipment & Medical Supplies 242 Seven Mile Ford Rd, Marion, VA 24354 2007-04-25
1699831511 Mel Leaman Free Clinic At Emory & Henry College, Inc. Clinic/Center 601 Radio Hill Road, Marion, VA 24354 2006-12-28
1568548741 Hunter Kevin Woods Dentist 639 Park Boulevard, Marion, VA 24354 2006-10-31
1992804645 Victoria Hollis Galloway Physician Assistant 601 Radio Hill Rd., Marion, VA 24354 2006-09-21
1154426351 Joseph A. Beaty Social Worker 434 Mitchell Valley Road, Marion, VA 24354 2006-09-13
Find all providers in zip 24354

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285704585 Keith Charles Damico Physician Assistant 5235 Nc 226 S, Marion, NC 28752-8733 2006-11-08
1578178679 Amelia Kate Stigall Physician Assistant 1301 E Deyoung St, Marion, IL 62959-3846 2020-09-15
1306343512 Cody Jordan Harris Physician Assistant 970 S Prospect St, Marion, OH 43302-6225 2018-04-12
1174989800 Andrew Michael Bandsuh Physician Assistant 1000 Mckinley Park Dr, Marion, OH 43302-6399 2016-01-11
1295108363 Julia Petraitis Physician Assistant 1728 Marion Waldo Rd, Marion, OH 43302-7457 2015-11-11
1396146460 Cameron M Ratcliff Physician Assistant 1616 N Main St, Ste 100a, Marion, VA 24354-4473 2014-09-09
1447593694 Harry William Howe Physician Assistant 1583 N Main St, Marion, VA 24354-4317 2013-04-05
1295088748 Zed Alex Mansfield Physician Assistant 2293 Sugar Hill Rd Ste D, Marion, NC 28752-7787 2012-10-22
1003079328 Karen Pauley Physician Assistant 402 S State St, Marion, OH 43302-5000 2008-07-07
1033380613 Crittenden County Hospital Physician Assistant 520 W Gum St, Marion, KY 42064-1516 2008-03-21
Find all providers in MARION

Competitor

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City MARION
Zip Code 24354

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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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