Diane Kay Bodemann, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N7441 Issued in AR

Practice address

1662 Higdon Ferry Rd
Suite 200
Hot Springs, AR 71913-6912

Phone

(501) 623-2781

Fax

(501) 623-1774

NPI assigned

Apr 10, 2006

Last updated

Jun 28, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dbodemann125006@directb.mercy.net

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.

• Healthfirst Physicians of Arkansas PA

  dba Convenient Care Clinic

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1861425415
  NPD (past)
• Healthfirst Physicians of Arkansas, P. a.

  dba Orthopaedic Associates of Arkansas

  • Specialist
  • Hot Springs, AR
  • NPI 1548200330
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1871556829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-623-2781",
            "fax_number": "501-623-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 HIGDON FERRY RD",
            "address_2": "SUITE 200",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136912",
            "telephone_number": "501-623-2781",
            "fax_number": "501-623-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEMANN",
        "first_name": "DIANE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "N7441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114598001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Lauren Blockburger, PT, DPT
• Yvonne Elizabeth Blumhoefer, PA-C
• Dane Blunt
• Laryssa Lauret Blunt, APRN
• Bob's Food City # 1450
• Donald Raymond Bodemann, MD
• Kimberly R. Bodemann, APRN
• Michael Charles Bodemann, MD
• Stephen Louis Bodemann, MD
• Mandi E Bohlen, APRN

• Internal Medicine Physician in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.