CHRISTOPHER H BODILY (NPI# 1891017448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891017448 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER H BODILY |
| Credential | PA-C |
| Practice Address |
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846 |
| Mailing Address |
5004 King Richards Row Midland TX 79707-1577 |
| Practice Telephone | 3607917626 |
| Mailing Telephone | 3607917626 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2014-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06676 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 ROSALIND REDFERN GROVER PKWY |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047952 | Laurence W Cunningham | Internal Medicine | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2005-07-15 |
| 1861001935 | Rachel Campbell Black | Pharmacist | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-6499 | 2020-07-24 |
| 1093331340 | Jana Lynne Peikert | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-06-23 |
| 1710500160 | K. Nicole Whitley Fnp-c, Pllc | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-05-20 |
| 1861027286 | Permian Basin Anesthesia P.l.l.c. | Anesthesiology | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-03-05 |
| 1518599869 | Aruna Maharjan | Nurse Anesthetist, Certified Registered | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-02-05 |
| 1225669476 | Kristian Nicole Whitley | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-01-27 |
| 1598305344 | Salem Physicians | Hospitalist | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-01-09 |
| 1437790284 | Ana Maria Rodriguez | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2019-10-02 |
| 1912485590 | Bridget Leann Winn | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701 | 2018-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1790251031 | Valarie Ramirez Alcala | Physician Assistant | 3400 Andrews Hwy, Midland, TX 79703-5100 | 2018-10-14 |
| 1487136537 | Heather Zamarron | Physician Assistant | 4400 N Midland Dr Ste 406b, Midland, TX 79707-3388 | 2018-09-05 |
| 1003214511 | Laura Sonnenburg | Physician Assistant | 4214 Andrews Hwy Ste 306, Midland, TX 79703-4870 | 2014-12-15 |
| 1437356730 | Johnny Lynn Flitton | Physician Assistant | 3401 Greenbriar, Suite 200, Midland, TX 79707-4652 | 2007-06-29 |
| 1942411038 | George Roger Vaillant | Physician Assistant | 119 Steele Creek Dr, Midland, GA 31820-4597 | 2007-05-24 |
| 1629139555 | Julie M. Davidson | Physician Assistant | 122 North N Street, Midland, TX 79701-6409 | 2006-12-13 |
| 1902994999 | Meredith Leigh Letzer | Physician Assistant | 4500 N Campus Ridge Dr, Midland, MI 48640-6123 | 2006-10-11 |
| 1538171616 | Midland Complete Family Care and Associates | Physician Assistant | 4310 W Illinois Ave, Ste 320, Midland, TX 79703-5529 | 2006-08-13 |
| 1437175163 | Nanette R Paredes | Physician Assistant | 400 Rosalind Redfern Grover Pkwy Ste 120, Midland, TX 79701-5849 | 2006-07-14 |
| Find all providers in MIDLAND | ||||
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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.