Boden Health System LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BODEN HEALTH SYSTEM LLC

Doing business as

Virginia Integrative Medical

Practice address

3038 Valley Ave
Winchester, VA 22601-2637

Phone

(540) 508-0651

Fax

(540) 585-4081

NPI assigned

Jun 27, 2017

Last updated

Jan 18, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jordan L Tran, MDNPI 1730417338

Title

Owner/Authorized Official

Phone

(540) 508-0651

Specialties & licenses 1

Addresses

Other names 1

• Virginia Integrative Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Le Tran, M.D.

  • Family Medicine Physician
  • Winchester, VA
  • NPI 1730417338
  Medicare reassignment NPD Authorized official
• Dawnya Rinker Finerfrock, FNP-BC

  • Family Nurse Practitioner
  • Front Royal, VA
  • NPI 1508123365
  Medicare reassignment NPD
• Karim Richard Masri, M.D.

  • Rheumatology Physician
  • Richmond, VA
  • NPI 1336451038
  Medicare reassignment NPD
• Shakeela Toukhi, NP-C

  • Family Nurse Practitioner
  • Winchester, VA
  • NPI 1467112656
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1255851531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 VALLEY AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012637",
            "telephone_number": "540-508-0651",
            "fax_number": "540-585-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3038 VALLEY AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012637",
            "telephone_number": "540-508-0651",
            "fax_number": "540-585-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODEN HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "540-508-0651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Integrative Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine L Boatright, OTR/L
• Ramona Jeanne Bock, MSN, FNP-C
• Boden Fitness Durable Medical Equipment
• Boden Fitness System LLC
• Boden Health National Gout Centers, LLC
• Boden Health Urgent Care
• Body Elite Physical Therapy Inc
• Maria A Bogaert, M.D.
• Mark William Bohler Jr.
• Sarah Bohn

• Family Medicine Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.