DR. THOMAS FRANCIS BODUCH (NPI# 1770588741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770588741 |
| Entity Type | Individual |
| Full Name | DR. THOMAS FRANCIS BODUCH |
| Credential | M.D. |
| Practice Address |
314 E Spring St Kingston TN 37763-2839 |
| Mailing Address |
Po Box 1030 Kingston TN 37763-1030 |
| Practice Telephone | 8653761212 |
| Practice Fax Number | 8653760010 |
| Mailing Telephone | 8653761212 |
| Mailing Fax Number | 8653760010 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 14330 | TN | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | MD0000014330 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSS BLUESHIELD OF TENNESSEE | 0086951 | 01 |
| TN | 3004412 | 05 |
| Street Address |
314 E SPRING ST |
| City | KINGSTON |
| State | TN |
| Zip Code | 37763-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124445937 | Jessica Shea Kirkland | Physical Therapist | 629 Gallher Rd, Kingston, TN 37763 | 2014-03-19 |
| 1639328529 | Kenneth P Fus | Pharmacist | 106 W. Race Street, Kingston, TN 37763 | 2008-09-16 |
| 1558580266 | Total Mobility Inc | Durable Medical Equipment & Medical Supplies | 2644 Decatur Hwy, Kingston, TN 37763 | 2007-04-24 |
| 1699824789 | James David Walmsley Jr. | Dentist | 1011 Waterford Pl, Kingston, TN 37763 | 2007-01-09 |
| 1689618886 | William Joseph Roberts | General Practice | 1445 Kingston Way, Kingston, TN 37763 | 2006-06-16 |
| 1851356851 | Larry D Ladd | Physical Therapist | 100 E Race St, A, Kingston, TN 37763 | 2006-04-20 |
| 1497725964 | Elizabeth Turner | Social Worker | 1002 Bradford Way, Kingston, TN 37763 | 2006-01-25 |
| 1073064309 | Elizabeth Jennings Ivey | Counselor | 508 N Kentucky St Ste 4, Kingston, TN 37763 | 2016-10-21 |
| 1982966966 | Megan H Chapman | Physician Assistant | 933 W Race St, Kingston, TN 37763 | 2012-06-14 |
| 1568609220 | Michelle Carr | Occupational Therapist | 187 Gallaher Rd, Kingston, TN 37763 | 2009-01-15 |
| Find all providers in zip 37763 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922342138 | Albany Medical College | General Practice | 365 Broadway Ste 304, Kingston, NY 12401-5151 | 2012-11-15 |
| 1033257407 | Stanley Michael Stanish | General Practice | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2007-02-01 |
| 1740345099 | Joseph L Adams Do PC | General Practice | 413 N Hwy 70, Kingston, OK 73439-0790 | 2006-12-27 |
| 1689618886 | William Joseph Roberts | General Practice | 1445 Kingston Way, Kingston, TN 37763 | 2006-06-16 |
| 1528023660 | Joseph L Adams IIi | General Practice | 413 N Highway 70, Kingston, OK 73439-0790 | 2006-04-20 |
| 1477065118 | The University of Rhode Island | General Practice | 3 Keaney Road, Suite 1, Kingston, RI 02881 | 2017-11-03 |
| 1740313964 | John Franklin Woods | General Practice | 814 N Kentucky St, Kingston, TN 37763-2678 | 2007-03-14 |
| 1093853293 | Joseph Anthony Campanella | General Practice | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2007-02-01 |
| 1821136227 | Medical Profesional Service, PC | General Practice | 675 Wyoming Ave, Kingston, PA 18704-3831 | 2007-02-01 |
| 1700987567 | Paul W Bushkuhl | General Practice | 360 Washington Ave, Kingston, NY 12401-3702 | 2006-09-26 |
| Find all providers in KINGSTON | ||||
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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.