LAURA A BONNEAU (NPI# 1447414479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447414479 |
| Entity Type | Individual |
| Full Name | LAURA A BONNEAU |
| Credential | MD |
| Practice Address |
820 S Mcclellan St Ste 300 Spokane WA 99204-2450 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5098387100 |
| Practice Fax Number | 5092277070 |
| Mailing Telephone | 5094743568 |
| Mailing Fax Number | 5092277070 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD60462413 | WA | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
53688-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 S Cowley St, Spokane, WA 992021316 | 5093216033 |
| Street Address |
820 S MCCLELLAN ST STE 300 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447357132 | Robert B Bazzano | Physician Assistant | 820 S Mcclellan St Ste 300, Spokane, WA 99204 | 2006-09-17 |
| 1356827133 | Caitlin Newton | Physician Assistant | 820 S Mcclellan St Ste 300, Spokane, WA 99204 | 2018-07-16 |
| 1912309295 | Carrie Peacock | Physician Assistant | 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 | 2014-09-18 |
| 1114260510 | Alexander Lee Telis | Orthopaedic Surgery | 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 | 2013-04-03 |
| 1720379050 | Reilly James Kuehn | Orthopaedic Surgery | 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 | 2011-04-20 |
| 1295037844 | Philip Louis Weidner | Physician Assistant | 820 S Mcclellan St Ste 300, Spokane, WA 99204 | 2010-12-01 |
| 1770815532 | Christina Marcus | Physician Assistant | 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 | 2010-02-04 |
| 1962646273 | Tamara M Brining | Physician Assistant | 820 S Mcclellan St Ste 300, Spokane, WA 99204-2450 | 2009-04-30 |
| 1609977669 | Anthony Matthew Caffarelli | Physician Assistant | 820 S Mcclellan St Ste 300, Spokane, WA 99204 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146734 | Chesnut Institute of Cosmetic & Reconstructive Surgery | Plastic Surgery | 510 S Cowley St Ste 201, Spokane, WA 99202-1332 | 2020-02-20 |
| 1356623698 | Peterson Plastic Surgery, Inc | Plastic Surgery | 105 W 8th Ave Ste 500, Spokane, WA 99204-2300 | 2011-09-13 |
| 1093728784 | Alfonso Oliva | Plastic Surgery | 530 S Cowley St Ste 140, Spokane, WA 99202-1316 | 2006-08-14 |
| 1114902905 | Robert L Cooper Jr. | Plastic Surgery | 530 S Cowley St, Ste. 100, Spokane, WA 99202-1316 | 2005-12-14 |
| 1750385209 | Lynn Dee Derby | Plastic Surgery | 235 E Rowan Ave, Ste 206, Spokane, WA 99207-1240 | 2005-06-10 |
| 1982608600 | Frank Robert Walchak | Plastic Surgery | 911 W. 5th Ave., Spokane, WA 99204 | 2005-06-09 |
| 1154594794 | Edwin Y Chang Md Pllc | Plastic Surgery | 235 E Rowan Ave, Ste 206, Spokane, WA 99207-1240 | 2008-04-03 |
| 1780714139 | Plastic Surgery Northwest Pllc | Plastic Surgery | 530 S Cowley St, Ste 100, Spokane, WA 99202-1316 | 2007-03-06 |
| 1790776425 | Lucy Elizabeth Peterson | Plastic Surgery | 105 W 8th Ave, Ste 500, Spokane, WA 99204-2302 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1144725649 | Cmn Industries | Plastic Surgery | 145 Lilly Rd Ne Ste 101, Olympia, WA 98506-5028 | 2018-03-27 |
| 1477071041 | Morgan Warwick Evans | Plastic Surgery | Division of Craniofacial and Plastic Surgery, 4800 Sand Point Way, Ne, Ms Ob.9.520, Seattle, WA 98105-0371 | 2017-09-05 |
| 1083161046 | Robert Knight | Plastic Surgery | 3837 Aurora Ave N, Apt 2, Seattle, WA 98103-2720 | 2016-09-07 |
| 1790134799 | Rmp Logic LLC | Plastic Surgery | 7202 Saint Andrews Ln Se, Snoqualmie, WA 98065-9093 | 2016-06-09 |
| 1275971822 | Eugene Wilbert Goertzen | Plastic Surgery | 1217 Treemont Way Se, Fall City, WA 98024-7425 | 2013-06-05 |
| 1023451317 | Sarah Layne Crandall | Plastic Surgery | 5005 Main St Ste 125, Tacoma, WA 98407-3177 | 2013-04-17 |
| 1184969289 | Robert John Kropp | Plastic Surgery | 760 Overlake Dr E, Medina, WA 98039-4817 | 2012-11-30 |
| 1326390303 | Paul Luu Ps Inc | Plastic Surgery | 5420 Rainier Ave. S, Seattle, WA 98118 | 2012-10-15 |
| 1821384868 | Minh-bao Mundschenk | Plastic Surgery | Already Listed As 1959 Ne Pacific St, Seattle, WA 98195-1010 | 2011-06-28 |
| Find all providers with the same taxonomy | ||||
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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.