| Dr Bodman Podiatry Associates Inc | |
|
21245 Lorain Road, Suite 115, Fairview Park, OH 44126-2140 | |
| (440) 356-1989 | |
| (440) 356-5944 |
| Full Name | Dr Bodman Podiatry Associates Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 21245 Lorain Road, Fairview Park, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215008735 | NPI | - | NPPES |
| 2250237 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36001747 (Ohio) | Primary |
| Provider Name | Michael J Bodman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386615144 PECOS PAC ID: 5799882890 Enrollment ID: I20070524000518 |
| Provider Name | Rachel E Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437445640 PECOS PAC ID: 7315196326 Enrollment ID: I20121008000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bodman Podiatry Associates Inc 21245 Lorain Road, Suite 115, Fairview Park, OH 44126-2140 Ph: (440) 356-1989 | Dr Bodman Podiatry Associates Inc 21245 Lorain Road, Suite 115, Fairview Park, OH 44126-2140 Ph: (440) 356-1989 |
John P Ellis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 21992 Lorain Rd, Fairview Park, OH 44126 Phone: 440-333-7300 Fax: 440-995-1234 | |
Dr. Raymond Randall Alferink, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4492 W 220th St, Fairview Park, OH 44126 Phone: 440-734-2228 Fax: 440-734-1793 | |
Stanley Luksenburg Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21475 Lorain Rd, Fairview Park, OH 44126 Phone: 440-356-1118 | |
Dr. Myron A Bodman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126 Phone: 440-356-1989 Fax: 440-356-5944 | |
Dr. Michael James Bodman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126 Phone: 440-356-1989 Fax: 440-356-5944 | |
John Mario Cuffari, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21992 Lorain Rd, Fairview Park, OH 44126 Phone: 440-333-7300 Fax: 440-333-7308 |