JOE BONAZZA (NPI# 1316553746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316553746 |
| Entity Type | Individual |
| Full Name | JOE BONAZZA |
| Credential | RN |
| Practice Address |
1508 Bigley Ave Ste A Charleston WV 25302-3904 |
| Practice Telephone | 3049351069 |
| Mailing Telephone | 3049351069 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
73481 | WV | Nursing Service Providers |
| Street Address |
1508 BIGLEY AVE STE A |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311203 | Susan Wolf | Registered Nurse | 1508 Bigley Ave Ste A, Charleston, WV 25302-3904 | 2020-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311203 | Susan Wolf | Registered Nurse | 1508 Bigley Ave Ste A, Charleston, WV 25302-3904 | 2020-09-22 |
| 1932764834 | Agathe Claire Bellevue | Registered Nurse | 169 Ashley Ave, Charleston, SC 29425-8905 | 2019-05-06 |
| 1407335151 | Judy Woolcock | Registered Nurse | 1 S Park Cir Ste 101, Charleston, SC 29407-4625 | 2018-08-13 |
| 1982024907 | Cynthia Andersen | Registered Nurse | 3 Charleston Center Dr, Charleston, SC 29401-1162 | 2014-04-17 |
| 1124447727 | Susan Harwood Hargrave | Registered Nurse | 3 Charleston Center Dr, Charleston, SC 29401-1162 | 2014-04-10 |
| 1245657808 | Suzanne Sears | Registered Nurse | 3 Charleston Center Dr, Charleston, SC 29401-1162 | 2014-03-20 |
| 1649696402 | Phyllis A. Sabitsch | Registered Nurse | 3 Charleston Center Dr, Charleston, SC 29401-1162 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010009 | Elisa Marie Hughes | Registered Nurse | 445 W Main St Ste 212, Clarksburg, WV 26301-2843 | 2020-07-15 |
| 1700483286 | Lisa Marlow | Registered Nurse | 171 W 2nd St, Weston, WV 26452-1665 | 2020-10-07 |
| 1275130833 | Daniel Bias | Registered Nurse | 540 5th Ave, Huntington, WV 25701-1908 | 2020-10-07 |
| 1073123956 | Anna Maria Duffield | Registered Nurse | 4329 Hughes Branch Rd, Huntington, WV 25701-9768 | 2020-08-05 |
| 1770193666 | Jill Grabosky | Registered Nurse | 4329 Hughes Branch Rd, Huntington, WV 25701-9768 | 2020-08-05 |
| 1982213799 | Melissa Marie Chambers | Registered Nurse | 4329 Hughes Branch Rd, Huntington, WV 25701-9768 | 2020-07-28 |
| 1679182935 | Billie Marie Colley | Registered Nurse | 4329 Hughes Branch Rd, Huntington, WV 25701-9768 | 2020-07-23 |
| 1770101057 | Cheryl Weed | Registered Nurse | 1205 Broad Street, Summersville, WV 26651 | 2020-07-13 |
| 1356963300 | Brittany Elizabeth Shaffer | Registered Nurse | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-05-13 |
| City | CHARLESTON |
| Zip Code | 25302 |
Please comment or provide details below to improve the information on JOE BONAZZA.
| 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.