Samantha Bohy, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001156 Issued in MI

Practice address

4401 N Campus Ridge Dr
Ste. C2000
Midland, MI 48640-6112

Phone

(989) 837-9350

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Mymichigan Medical Group

  • Internal Medicine Physician
  • Midland, MI
  • NPI 1629027669
  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1629510953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N CAMPUS RIDGE DR",
            "address_2": "STE. C2000",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N CAMPUS RIDGE DR",
            "address_2": "STE. C2000",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406112",
            "telephone_number": "989-837-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHY",
        "first_name": "SAMANTHA",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Bodnar, MD, MPH
• Anthony Bogdan, AT
• Marina Bogdanovic Odabasic, MD
• Andrzej S. Boguszewski, M.D.
• Jason Bohl
• David Bolick
• Jason Boman
• Jared Bombly
• Kelly Jo Bond, FNP
• Shay Bonham

• Athletic Trainer in Midland, MI
• Providers in Midland, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.