MR. JAMES R BOGNANNO (NPI# 1205879988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205879988 |
| Entity Type | Individual |
| Full Name | MR. JAMES R BOGNANNO |
| Credential | M.D. |
| Practice Address |
7340 Shadeland Sta Ste 200 Indianapolis IN 46256-3980 |
| Practice Telephone | 3178068260 |
| Practice Fax Number | 3178068296 |
| Mailing Telephone | 3178068260 |
| Mailing Fax Number | 3178068296 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1035155A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000091495 | 01 |
| IN | 100320950 | 05 |
| Street Address |
7340 SHADELAND STA STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-3980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699735019 | Nakiisa M Rogers | Radiology | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2006-03-28 |
| 1982269544 | Katie R Guntle | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2019-05-08 |
| 1447724919 | Patrick M Mcguire | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2019-01-17 |
| 1447724018 | Rebecca D Flowers | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2019-01-17 |
| 1104390673 | Caitlin R Spall | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2019-01-17 |
| 1427540137 | Rachel E Mays | Physician Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2018-05-30 |
| 1679072565 | Cindy Petree | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256 | 2018-02-06 |
| 1225567274 | Serena E Caress | Physician Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2017-06-05 |
| 1629521976 | Jadyn Bleeke | Physician Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256 | 2016-08-03 |
| 1447670500 | Derek Zipkin | Radiology | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1922340439 | Ted Alexander Seltman | Radiology | 550 University Blvd Rm 663, Indianapolis, IN 46202-5149 | 2013-03-22 |
| 1386919488 | Paul Joseph Niziolek | Radiology | 714 N Senate Ave Ste 100, Indianapolis, IN 46202 | 2012-03-21 |
| 1770862328 | Oscar Danilo Rosales | Radiology | 1001 W 10st, Wishard Hospital West Building M200, Indianapolis, IN 46202 | 2011-08-15 |
| 1326362120 | Jaimie M. Howell | Radiology | 714 N Senate Blvd., Suite 100, Indianapolis, IN 46202-3297 | 2010-03-23 |
| 1558525535 | Joel A Yalowitz | Radiology | 3907 Guilford Ave, Indianapolis, IN 46205-2827 | 2008-07-18 |
| 1891958757 | George Louis Trilikis | Radiology | 550 N University Blvd Room 0641, Dept of Radiology In University School of Medicine, Indianapolis, IN 46202 | 2008-07-09 |
| 1366604134 | Ian Wong | Radiology | 924 Fayette St, Indianapolis, IN 46202-3019 | 2008-07-01 |
| 1780845941 | Megan Beth Marine | Radiology | 550 University Blvd Rm 641, Indianapolis, IN 46202-5149 | 2008-06-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
Please comment or provide details below to improve the information on MR. JAMES R BOGNANNO.
| 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.