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SARA BODENHAMER D.O. NPI 1639598584


NPI Information

NPI: 1639598584
Provider Name: SARA BODENHAMER, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: WHEATON FRANCISCAN MEDICAL GROUP INC

PECOS Registration: Yes

Address:
201 N MAYFAIR RD FL 2
WAUWATOSA, WI
ZIP 53226
Phone: (414) 771-8228
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Sara Bodenhamer, D.O. is a family medicine in Wauwatosa, WI with 10 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Sara Bodenhamer, D.O. NPI is 1639598584. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2014

The provider's business location address is:

201 N MAYFAIR RD FL 2
WAUWATOSA, WI
ZIP 53226-216
Phone: (414) 771-8228

The NPI 1639598584 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2014 and was last updated on 8/3/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine64771WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.