Gary Bodnarchuk
Gastroenterologist
1532 Lone Oak Rd Suite 310
Paducah
, Kentucky 42003-7913
Gary Bodnarchuk
Gastroenterologist
1532 Lone Oak Rd Suite 310
Paducah
, Kentucky 42003-7913
(513) 981-5015
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Gary Bodnarchuk
- Po Box 636961
- Cincinnati, OH
- Zip : 45263-6961
- Fax : (513) 981-5015
- Phone : (513) 981-5130
Second Address
- Gary Bodnarchuk
- 1532 Lone Oak Rd Suite 310
- Paducah, KY
- Zip : 42003-7913
- Fax : (270) 443-0999
- Phone : (270) 443-0777
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0100X | Gastroenterologist | 036.075177 | IL |
| Y | 207RG0100X | Gastroenterologist | 28275 | KY |
National Provider Identifier
| NPI | 1033196084 |
|---|---|
| Provider Name | Gary Bodnarchuk |
| First Address | Cincinnati, OH 45263-6961 |
| Second Address | Paducah, KY 42003-7913 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2005 |
| Last Update Date | 08/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036075177 | (05) | IL |
| 64282759 | (05) | KY |
| C45167 | (02) | KY |
| P00947881 | RAIL ROAD MEDICARE (01) | KY |
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.