Wayne Joseph Bodamer in Medford - Foot & Ankle Surgery
Wayne Joseph Bodamer - NPI 1457317562
Wayne Joseph Bodamer is a Foot & Ankle Surgery in Medford, New York. Wayne Joseph Bodamer practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Wayne Joseph Bodamer is 1457317562. The last update date is 2007-11-27.
Wayne Joseph Bodamer's current location address is 1641 Route 112, Medford, New York. You can contact this provider via phone number 6314470800 and fax number 6314470801. The mailing address for Wayne Joseph Bodamer is 1641 Route 112, Medford, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Joseph Bodamer |
|---|---|
| Address | 1641 Route 112, Medford, New York |
| Phone Number | 6314470800 |
| Fax Number | 6314470801 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1457317562 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 1641 Route 112 |
|---|---|
| City | Medford |
| State | New York (NY) |
| Post Code | 117633635 |
| Phone Number | 6314470800 |
| Fax Number | 6314470801 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 3889 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PPD162 | NY | HEALTHNET | |
| AH00139 | NY | MDNY | |
| P41901 | NY | EMPIRE BLUECROSS/BLUE SHI | |
| 56853 | NY | GHI | |
| 0301399-007 | NY | CIGNA HMO | |
| 96401 | NY | AETNA US HEALTHCARE | |
| P368761 | NY | OXFORD HEALTH PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Wayne Joseph Bodamer by the Centers for Medicare & Medicaid Services (CMS)?
The Wayne Joseph Bodamer has been assigned the NPI (National Provider Identifier) 1457317562. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Wayne Joseph Bodamer?
The Wayne Joseph Bodamer is physically situated at 1641 Route 112, in the city of Medford, state of NY, with the postal code 117633635.
What is the area of specialization for Wayne Joseph Bodamer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wayne Joseph Bodamer is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0103X.
On what date did the Wayne Joseph Bodamer receive its 1457317562 assignment from the Centers for Medicare & Medicaid Services?
The Wayne Joseph Bodamer was assigned its 1457317562 by the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the information regarding Wayne Joseph Bodamer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wayne Joseph Bodamer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-27.