Stephen M Bodjanac, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34006963 Issued in OH

Practice address

4125 Medina Rd
Suite 215
Akron, OH 44333-2483

Phone

(330) 665-8143

Fax

(330) 665-1289

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: sbodjanac316377@direct.ccf.org
• Direct secure messaging: sbodjanac1066393@direct.osumc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Health Care Center Physicians, Inc.

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1831105139
  NPD (past)
• Partners Physician Group

  dba Akron Breast Surgeons

  • Surgical Oncology Physician
  • Akron, OH
  • NPI 1225212707
  NPD (past)
• Partners Physician Group

  dba Canal Physician Group

  • Family Medicine Physician
  • Akron, OH
  • NPI 1548207111
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1417917725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "address_2": "SUITE 215",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8143",
            "fax_number": "330-665-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "address_2": "SUITE 215",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8143",
            "fax_number": "330-665-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODJANAC",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPG GROUP NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE TYPE 2 NPI #",
            "identifier": "1023301025",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127657",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00469259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Bobo
• Ashleigh Boche
• Prasad V Bodas, M.D.
• Devaujhn Markee Boddie
• Autumn Bodenstadt
• Brandon Boesiger, M.D., ED.S.
• Angela Sue Boettler
• Amanda Jo Bofia, LISW
• Lashawn Denise Bogan
• Sherise Bogan, LISW-S

• Family Medicine Physician in Akron, OH
• Providers in Akron, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.