Individual provider Active NPI

Gail Bodner, M.D.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1720139090
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044021E Issued in PA
Practice address
734 N Franklin St
Lancaster, PA 17602-2176
Phone
(717) 295-2323
Fax
(717) 295-7294
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD044021E PA Primary

Addresses

Primary practice location

734 N Franklin St
Lancaster, PA 17602-2176

Mailing address

734 N Franklin St
Lancaster, PA 17602-2176
Phone (717) 295-2323

Other identifiers 1

IdentifierTypeStateIssuer
001216632003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100714000486 PA Practitioner - Family Practice 7315079118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
73.24
Improvement activities
40
Cost
77.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD044021EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Diamantoni & Associates Family Practice PC Family Medicine CurrentSince Mar 12, 1992 Accepting new patients
Stephen G. Diamantoni MD and Associates Family Practice, P.C. Current Accepting new patients
Stephen G. Diamantoni, MD and Associates Family Practice CurrentSince Mar 12, 1992 Accepting new patients

Locations

734 N Franklin St
Lancaster, PA 17602
Phone (717) 295-2323

Interoperability endpoints

  • Direct secure messaging: gbodner@diamantoni.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1720139090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N FRANKLIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022176",
            "telephone_number": "717-295-2323",
            "fax_number": "717-295-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N FRANKLIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022176",
            "telephone_number": "717-295-2323",
            "fax_number": "717-295-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNER",
        "first_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD044021E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001216632003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.