BONNIE MARMORA (NPI# 1215390455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215390455 |
| Entity Type | Individual |
| Full Name | BONNIE MARMORA |
| Credential | MD |
| Practice Address |
4881 Sugar Maple Dr Dayton OH 45433-5529 |
| Mailing Address |
4881 Sugar Maple Dr Wright Patterson Afb OH 45433-5529 |
| Practice Telephone | 9372570837 |
| Mailing Telephone | 9372570837 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301500857 | MI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4351037703 | MI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 5315083941 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3551 Roger Brooke Dr, Sammc, Mche-zdm-m, Internal Medicine Residency, Fort Sam Houston, TX 782344504 | 2102925077 | 2102927868 |
| Street Address |
4881 SUGAR MAPLE DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45433-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821611989 | Se Ha Park | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-05-24 |
| 1841812898 | George Manoj Paul | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-05-13 |
| 1053949198 | Jacob Aaron Freeze | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-04-01 |
| 1326672619 | Caleb Evan Mcclary | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-02-26 |
| 1730729542 | Alan Eric Piper | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-01-09 |
| 1073161147 | Kristin Kim | Dentist | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-08-30 |
| 1225681117 | Kaleb Aaron Specht | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-07-19 |
| 1891347662 | Jessica Marie Gregor | Physician Assistant | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-07-11 |
| 1134785165 | Ethan Wilston | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-05-15 |
| 1700381522 | Zachary Gordon Candela | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2018-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275875437 | Stephanie I Haddad | Emergency Medicine | 10 Julia Way, Dayton, NJ 08810-1308 | 2013-03-26 |
| 1679702294 | Leslie Rae Dye | Emergency Medicine | 601 South Edwin C Moses Rd, Dayton, OH 45417-3424 | 2009-07-02 |
| 1215080049 | Charles Mcintosh | Emergency Medicine | 405 W. Grand Avenue, Dayton, OH 45405-4796 | 2007-01-18 |
| 1134210347 | Bryan T. Fitzgerald | Emergency Medicine | 5664 Stone Lake Dr, Dayton, OH 45429-6001 | 2006-09-27 |
| 1558851568 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 405 W Grand Ave, Dayton, OH 45405-7538 | 2018-05-15 |
| 1710410998 | Justin Jefferey Lake | Emergency Medicine | 405 W Grand Ave, Dayton, OH 45405-7538 | 2017-04-05 |
| 1053843870 | Vincent Christopher Marsh | Emergency Medicine | 1 Wyoming St, Dayton, OH 45409-2722 | 2017-03-30 |
| 1952780322 | Adam Wiercinski | Emergency Medicine | 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 | 2015-05-19 |
| 1477931871 | Keri Alison Childers | Emergency Medicine | 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 | 2015-05-18 |
| 1063807238 | Katelyn Lippert | Emergency Medicine | 1 Wyoming St, Che 7th Floor, Dayton, OH 45409-2722 | 2015-04-03 |
| Find all providers in DAYTON | ||||
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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.