DR. CARL JAY BODENSTEIN (NPI# 1811960156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811960156 |
| Entity Type | Individual |
| Full Name | DR. CARL JAY BODENSTEIN |
| Credential | MD |
| Practice Address |
105 W 8th Ave Ste 336c Spokane WA 99204-2302 |
| Practice Telephone | 5094558855 |
| Practice Fax Number | 5094558383 |
| Mailing Telephone | 5094558855 |
| Mailing Fax Number | 5094558383 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2009-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD00020651 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8458507 | 05 | |
| OR | 205997 | 05 | |
| WA | UNITED HEALTH CARE | 911922781 | 01 |
| WA | REGENCE BLUE S. OF IDAHO | 10004603 | 01 |
| WA | AETNA | 5404342 | 01 |
| WA | GROUP HEALTH NW | 911922781 | 01 |
| ID | 000038801 | 05 | |
| WA | PHCO | 911922781 | 01 |
| MT | 0000108137 | 05 | |
| WA | CIGNA | 911922781 | 01 |
| WA | BLUE CROSS OF IDAHO | KA345 | 01 |
| WA | PREMERA | 911922781 | 01 |
| WA | 911922781 | 05 | |
| WA | ASURIS NW HEALTH | BO6528 | 01 |
| Street Address |
105 W 8TH AVE STE 336C |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506814 | Jennifer Kay Pary | Psychiatry & Neurology | 105 W 8th Ave, Suite 318c, Spokane, WA 99204-2302 | 2005-05-24 |
| 1285191346 | Lauren A Earthman | Physician Assistant | 105 W 8th Ave, Spokane, WA 99204-2302 | 2019-02-25 |
| 1285104885 | Jonathan Carmen Panetta | Nurse Practitioner | 105 W 8th Ave, Spokane, WA 99204-2302 | 2018-11-27 |
| 1821516949 | Hayden Ingram | Pharmacist | 105 W 8th Ave, Spokane, WA 99204-2302 | 2017-09-08 |
| 1326573031 | Charlotte Lynch | Advanced Practice Midwife | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2017-05-01 |
| 1336698703 | Jocelyn Diana Christianson | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-09-27 |
| 1972057172 | Ashlee Nicole Bradshaw | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-08-05 |
| 1720439045 | Kristin Martin | Nurse Practitioner | 105 W 8th Ave, Suite 200, Spokane, WA 99204-2302 | 2016-06-28 |
| 1871940809 | Elizabeth Killian | Counselor | 105 W 8th Ave, Ste.332, Spokane, WA 99204-2302 | 2016-05-19 |
| 1962860981 | Mahshid Aghasadeghi | Registered Nurse | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2016-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417118399 | Claudia Nadernejad | Pediatrics | 35 W 8th Ave Ste 442, Spokane, WA 99204-2361 | 2008-06-23 |
| 1942262027 | Ron C Ilg | Pediatrics | 35 W 8th Ave, Suite 440, Spokane, WA 99204-2361 | 2006-04-05 |
| 1548556376 | Claudia Weinheimer | Pediatrics | 35 W 8th Ave Ste 442, Spokane, WA 99204-2361 | 2011-06-20 |
| 1730488123 | Andrea Freeman Kane | Pediatrics | 101 W 8th Ave, Spokane, WA 99204 | 2011-03-24 |
| 1447476429 | Kathleen Suzanne Webb | Pediatrics | 35 W 8th Ave, Suite 440, Spokane, WA 99204-2361 | 2007-04-18 |
| 1831263938 | Neonatology Associates Spokane Ps | Pediatrics | 105 W 8th Ave, Ste 336c, Spokane, WA 99204-2302 | 2006-11-20 |
| 1063523546 | Ronda Jean Gretebeck | Pediatrics | 35 W 8th Ave, Spokane, WA 99204-2361 | 2006-08-31 |
| 1144273715 | Erik Lee Strandness | Pediatrics | 35 W 8th Ave, Spokane, WA 99204-2361 | 2006-05-17 |
| 1124082953 | Ronald Shapiro | Pediatrics | 35 W 8th Ave, Spokane, WA 99204-2361 | 2006-04-17 |
| 1619930211 | Michael R. Barsotti | Pediatrics | 35 W 8th Ave, Suite 440, Spokane, WA 99204-2361 | 2006-04-06 |
| Find all providers in SPOKANE | ||||
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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.