MEDICARE: MICHELLE E BODIE PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	50001548	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000349619	OTHER	OH	ANTHEM BLUE CROSS
2	P00195046	OTHER	OH	RR MEDICAR

General Provider Information

NPI Number	:	1376541938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE E BODIE PAC

Provider Business Mailing Address
First Line	:	2500 W STRUB RD
Second Line	:	SUITE 330
City	:	SANDUSKY
State	:	OH
Zip	:	44870-5390
Country	:	US
Telephone Number	:	419-626-6700
Fax Number	:	419-626-6710

Provider Business Practice Location Address
First Line	:	2500 W STRUB RD
Second Line	:	SUITE 330
City	:	SANDUSKY
State	:	OH
Zip	:	44870-5390
Country	:	US
Telephone Number	:	419-626-6700
Fax Number	:	419-626-6710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	01/24/2012

Similar Medicare Providers

1003388091 — NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Practice Location Address:

2500 W STRUB RD STE 220
SANDUSKY, OH
44870-5390

Practice Phone: 419-502-5944
Practice Fax: 419-502-5945

1053985036 — NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Practice Location Address:

2500 W STRUB RD STE 110
SANDUSKY, OH
44870-5390

Practice Phone: 419-502-3526
Practice Fax: 419-502-3529

1306010798 — NORTHERN OHIO MEDICAL SPECIALISTS,LLC
Practice Location Address:

2500 W STRUB RD STE 100
SANDUSKY, OH
44870-5390

Practice Phone: 419-627-1471
Practice Fax: 419-627-8941

1730160672 — MATTHEW E MORROW MD
Practice Location Address:

2500 W STRUB RD , BLDG 1, SUITE B
SANDUSKY, OH
44870-5390

Practice Phone: 567-998-3900
Practice Fax: 567-998-3899

1851398507 — DR. JENNIFER W GOULD M.D.
Practice Location Address:

2500 W STRUB RD , SUITE 330
SANDUSKY, OH
44870-5390

Practice Phone: 419-626-6700
Practice Fax: 419-626-6710

1588662142 — DR. THOMAS E FLEMING M.D.
Practice Location Address:

2500 W STRUB RD , SUITE 350
SANDUSKY, OH
44870-5390

Practice Phone: 419-502-3376
Practice Fax:

Directions to “ MICHELLE E BODIE PAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.