BONNIE O'HARA (NPI# 1053817080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053817080 |
| Entity Type | Individual |
| Full Name | BONNIE O'HARA |
| Credential | CRNP |
| Practice Address |
100 E Lancaster Ave Wynnewood PA 19096 |
| Mailing Address |
100 E Lancaster Ave Wynnewood PA 19096-3450 |
| Practice Telephone | 4844761000 |
| Practice Fax Number | 4844769000 |
| Mailing Telephone | 4844761000 |
| Mailing Fax Number | 4844769000 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SPO18687 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043324635 | Bonnie Helen O'hara | Nurse Anesthetist, Certified Registered | Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2006-08-19 |
| 1679696926 | Bonnie Lee O'hara | Occupational Therapy Assistant | 3305 W End Ave, Nashville, TN 37203-1035 | 2007-04-09 |
| Street Address |
100 E LANCASTER AVE |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1447858725 | Anthony Montello | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-09 |
| 1982216107 | Delaware Valley I.d. Associates, P.C. | Clinic/Center | 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096 | 2020-08-19 |
| 1831708551 | Farouk Al Chami | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1225647944 | Farah Olleik | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1134738859 | Talar Telvizian | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1962011833 | Fares Sukhon | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-27 |
| 1700494028 | Aviad Lavian | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-22 |
| 1700404472 | Dalia Amrom | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561451 | Sheyla Michele De Souza Cunha | Nurse Practitioner | 215 Old Forest Rd, Wynnewood, PA 19096-4055 | 2020-02-26 |
| 1760951594 | Amanda Di Grazia | Nurse Practitioner | 100 E Lancaster Ave Ste 137, Wynnewood, PA 19096-3453 | 2018-11-22 |
| 1639682024 | Chi-tzu Huang | Nurse Practitioner | 106 N Powell Ave, Wynnewood, OK 73098-6608 | 2017-11-08 |
| 1053710053 | Shelly Rae Robbins | Nurse Practitioner | 106 N Powell, Wynnewood, OK 73098 | 2014-08-15 |
| 1609842160 | Karen G Shauger | Nurse Practitioner | 306 E Lancaster Ave Ste 400, Wynnewood, PA 19096-2105 | 2006-02-24 |
| 1902394968 | Shakia Mary Blount-williams | Nurse Practitioner | 100 E Lancaster Ave Ste 330, Wynnewood, PA 19096 | 2018-04-25 |
| 1336661008 | Leah Rebeccca Mccurdy | Nurse Practitioner | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2017-07-13 |
| 1053853770 | Kimberly Nolan | Nurse Practitioner | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2016-11-11 |
| 1093176505 | Jill Gebert | Nurse Practitioner | 100 E Lancaster Ave, Wynnewood, PA 19096 | 2016-03-10 |
| 1093197949 | Penny Vanderbeek | Nurse Practitioner | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2015-06-26 |
| Find all providers in WYNNEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.