MICHAEL J BONO (NPI# 1780612747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780612747 |
| Entity Type | Individual |
| Full Name | MICHAEL J BONO |
| Credential | MD |
| Practice Address |
4092 Foxwood Dr Ste 101 Virginia Beach VA 23462-5225 |
| Mailing Address |
Po Box 7549 Portsmouth VA 23707-0549 |
| Practice Telephone | 7574674200 |
| Mailing Telephone | 7576863516 |
| Mailing Fax Number | 7576860230 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101037140 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6081461 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487690228 | Michael David Bono | Surgery | 280 Middletown Blvd, Langhorne, PA 19047-1816 | 2006-06-21 |
| 1922061951 | Michael Bono | Physical Therapist | 901 Boren Ave, 410, Seattle, WA 98104-3548 | 2006-04-10 |
| Street Address |
4092 FOXWOOD DR STE 101 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884343 | Joseph Scott Welch | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Virginia Beach, VA 23462-5225 | 2005-07-08 |
| 1548735392 | Heather A Lustig | Physician Assistant | 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 | 2018-10-09 |
| 1679066070 | Kendell Nicole Cobb | Physician Assistant | 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 | 2018-06-11 |
| 1972002806 | Destiny Woods Houchin | Emergency Medicine | 4092 Foxwood Dr, Virginia Beach, VA 23462 | 2018-02-06 |
| 1417306317 | Kathryn Sidrow | Physician Assistant | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 | 2016-06-10 |
| 1295184737 | Liana Michelle Johnson | Physician Assistant | 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 | 2016-06-06 |
| 1770937104 | Jacob Lunsford | Physician Assistant | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 | 2016-04-22 |
| 1962800649 | Stacey Alena Moody | Physician Assistant | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 | 2014-12-12 |
| 1114332020 | Victoria M Evelyn | Physician Assistant | 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 | 2014-06-30 |
| 1568890473 | James L Thompson | Physician Assistant | 4092 Foxwood Dr, Ste 101, Virginia Beach, VA 23462-5225 | 2013-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| 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 |
|---|---|---|---|---|
| 1790925188 | Matthew E Gaffigan | Emergency Medicine | 472 Polaris Blvd, Bldg 586, Virginia Beach, VA 23461 | 2009-02-25 |
| 1538321807 | Allison Raines | Emergency Medicine | 4092 Foxwood Dr Ste 101, Virginia Beach, VA 23462-5225 | 2008-06-27 |
| 1134330723 | Jude D Kotsko | Emergency Medicine | 1608 Bohnhoff Dr, Virginia Beach, VA 23454-2534 | 2007-05-24 |
| 1043230840 | Brian L Gruber | Emergency Medicine | 236 Clearfield Ave Ste 215, Virginia Beach, VA 23462-1893 | 2006-07-21 |
| 1225057607 | Timothy M Kearns | Emergency Medicine | 2364 Upper Greens Pl, Virginia Beach, VA 23456-3587 | 2006-07-18 |
| 1851326573 | Scott W Paden | Emergency Medicine | 5232 Providence Rd, Virginia Beach, VA 23464-4202 | 2006-07-11 |
| 1134151855 | Edward J Downs | Emergency Medicine | 1290 Diamond Springs Rd, Virginia Beach, VA 23455-3701 | 2006-07-06 |
| 1841220902 | Jack F Seavy | Emergency Medicine | 620 Village Dr, Suite A, Virginia Beach, VA 23454-4276 | 2006-07-04 |
| 1013943158 | Ioliene Boenau | Emergency Medicine | 3914 W Stratford Rd, Virginia Beach, VA 23455-1664 | 2006-06-23 |
| 1295700482 | Tirza S Santiago-rodriguez | Emergency Medicine | 1701 Buyrn Ct, Virginia Beach, VA 23453 | 2006-02-21 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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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.