Ethan Emmet Bodle in Oakland - Emergency Medicine
Ethan Emmet Bodle - NPI 1033392584
Ethan Emmet Bodle is a Emergency Medicine in Oakland, California. Ethan Emmet Bodle practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Ethan Emmet Bodle is 1033392584. The last update date is 2021-12-14.
Ethan Emmet Bodle's current location address is 280 W Macarthur Blvd, Oakland, California. You can contact this provider via phone number 5107527515. The mailing address for Ethan Emmet Bodle is 280 W Macarthur Blvd, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan Emmet Bodle |
|---|---|
| Address | 280 W Macarthur Blvd, Oakland, California |
| Phone Number | 5107527515 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., M.P. |
NPI Number Detail
| NPI Number | 1033392584 |
|---|---|
| Provider Enumeration Date | 2007-12-06 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 280 W Macarthur Blvd |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946115642 |
| Phone Number | 5107527515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | A100979 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Post Comment/ Review Below
What is the unique identifier code issued to Ethan Emmet Bodle by the Centers for Medicare & Medicaid Services?
The Ethan Emmet Bodle has been assigned the NPI (National Provider Identifier) 1033392584. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ethan Emmet Bodle?
The Ethan Emmet Bodle is situated at 280 W Macarthur Blvd, in the city of Oakland, state of CA, with the zip code 946115642.
What is Ethan Emmet Bodle's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ethan Emmet Bodle is Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033392584 to Ethan Emmet Bodle?
The Centers for Medicare & Medicaid Services assigned the 1033392584 to Ethan Emmet Bodle on 2007-12-06.
As of what date was the information pertaining to Ethan Emmet Bodle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ethan Emmet Bodle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-14.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA