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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
26208 Lee Hwy, Abingdon, VA 242117504 | 2764513044 |
Street Address |
1204 N MAIN ST |
City | MARION |
State | VA |
Zip Code | 24354-4312 |
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 |
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 Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
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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.