Myron A Bodman (NPI# 1316943970, PAC ID# 0941332019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1316943970 |
| PAC ID by PECOS | 0941332019 |
| Professional Enrollment ID | I20100726000431 |
| Full Name | Myron A Bodman |
| Organization Legal Name | KSU FOOT AND ANKLE CLINIC |
| Address |
6000 Rockside Woods Blvd N Independence OH 44131-2330 |
| Phone Number | 2165201544 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1254588684 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 | 2165201544 | KSU FOOT AND ANKLE CLINIC |
| Organization Legal Name | KSU FOOT AND ANKLE CLINIC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Mantini Blazer | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Rocco A Petrozzi Jr. | Podiatry | Ksu Foot and Ankle Clinic | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 |
| Kathy Jo Siesel | Podiatry | Ksu Foot and Ankle Clinic | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 |
| Christina Pratt | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Abe G Osbourne | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Rachel E Johnson | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Allan M Boike | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Scott A Spencer | Podiatry | Ksu Foot and Ankle Clinic | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 |
| James C Connors | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Bryan Dewitt Caldwell | Podiatry | Ksu Foot and Ankle Clinic | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 |
| Street Address |
6000 ROCKSIDE WOODS BLVD N |
| City | INDEPENDENCE |
| State | OH |
| Zip | 44131-2330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Mantini Blazer | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Christina Pratt | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Abe G Osbourne | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Rachel E Johnson | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Allan M Boike | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| James C Connors | Podiatry | Ksu Foot and Ankle Clinic | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Atkinson | Nurse Practitioner | 819 Rockside Rd, Seven Hills, OH 44131-1778 | |
| Meghan L Lacey | Nurse Practitioner | Mills Medical Practices, LLC | 4401 Rockside Rd, Suite 214, Independence, OH 44131-2147 |
| Natajlia E Benn | Nurse Practitioner | Mills Medical Practices, LLC | 4401 Rockside Rd, Suite 214, Independence, OH 44131-2147 |
| Nia Betton | Nurse Practitioner | Viaquest Psychiatric and Behavioral Solutions LLC | 4700 Rockside Rd, Independence, OH 44131-2155 |
| Mark A Hughes | Physician Assistant | The Cleveland Clinic Foundation | 5001 Rockside Rd, Independence, OH 44131-2172 |
| Carol C Slover | Dermatology | The Cleveland Clinic Foundation | 5001 Rockside Rd, Independence, OH 44131-2172 |
| William Geoffrey Lefferts | Internal Medicine | The Cleveland Clinic Foundation | 5001 Rockside Rd, Independence, OH 44131-2172 |
| Richard A Grimm | Cardiovascular Disease (cardiology) | The Cleveland Clinic Foundation | 5001 Rockside Rd, Independence, OH 44131-2172 |
| Safaa Fiak Al-haddad | Internal Medicine | The Cleveland Clinic Foundation | 5001 Rockside Rd, Independence, OH 44131-2172 |
| Matthew R Faiman | Internal Medicine | The Cleveland Clinic Foundation | 5001 Rockside Rd, Independence, OH 44131-2172 |
| Find all physicians in zip 44131 | |||
| City | INDEPENDENCE |
| Zip Code | 44131 |
| Specialty | PODIATRY |
| City + Specialty | INDEPENDENCE + PODIATRY |
Please comment or provide details below to improve the information on Myron A Bodman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.