DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GORDON A. BODZIN, M.D.

Active

DR. GORDON A. BODZIN, M.D. is a General Surgery healthcare provider located in MENTOR, Ohio. NPI 1053388637 is currently active in the NPPES registry. Verify at CMS.

General Surgery · MENTOR, OH

Registration Details

NPI Number
1053388637
Provider Type
Individual
Gender
Male
NPI Issued
Mar 2, 2006 (20.493178058992 yrs)
Last Updated
Mar 18, 2021
Licenses
36446 (AZ)
A88984 (CA)
35.121334 (OH)

Practice Information

Address
9500 MENTOR AVE STE 200
MENTOR, OH, 440608702
Browse OH providers · Browse ZIP 44060
Phone
4403541899
Fax
4403541845
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery
Additional Specialty
General Surgery

Other General Surgery Providers in MENTOR, OH

Name Credential NPI
DR. JOHN P. FERRON M.D. 1952490278
DR. DAVID MEIR REZNICK M.D. 1821380023
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.