Dr. Myron A Bodman
Primary Podiatric Medicine
21245 Lorain Rd Suite 115
Fairview Park
, Ohio 44126-2140
Dr. Myron A Bodman
Primary Podiatric Medicine
21245 Lorain Rd Suite 115
Fairview Park
, Ohio 44126-2140
(440) 356-5944
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Myron A Bodman
- 21245 Lorain Rd Ste 115
- Fairview Park, OH
- Zip : 44126-2140
- Fax : (440) 356-5944
- Phone : (440) 356-1989
Second Address
- Dr. Myron A Bodman
- 21245 Lorain Rd Suite 115
- Fairview Park, OH
- Zip : 44126-2140
- Fax : (440) 356-5944
- Phone : (440) 356-1989
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 36-00-1747 | OH |
National Provider Identifier
| NPI | 1316943970 |
|---|---|
| Provider Name | Dr. Myron A Bodman |
| First Address | Fairview Park, OH 44126-2140 |
| Second Address | Fairview Park, OH 44126-2140 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2005 |
| Last Update Date | 17/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0360041 | (05) | OH |
| 4800325161 | RAILROAD MEDICARE (01) | OH |
| T80448 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.