Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gordon A. Bodzin, MD

Individual provider Surgery Physician · NPI 1053388637

Dr. Gordon A. Bodzin, MD is a General Surgery in Mentor, Ohio. Graduated from Rush Medical College of Rush University in 1997, 29 years ago. Practices with Ashtabula County Medical Center, a 70-clinician group and accepts Medicare assignment. Licensed in Arizona, California and Ohio.

Years since qualifying
29
Trained at
Rush Medical College of Rush University
Licensed in
AZ, CA, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9500 Mentor Ave Ste 200
Mentor, OH 44060-8702
Phone: (440) 354-1899
Fax: (440) 354-1845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35.121334 (OH)
Surgery Physician Taxonomy 208600000X · Licence 36446 (AZ)
Surgery Physician Taxonomy 208600000X · Licence A88984 (CA)

Record details

NPI number1053388637
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESMarch 18, 2021
Certification dateFebruary 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1997 (29 years in practice)
Group practice Ashtabula County Medical Center — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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