DR. RYAN MICHAEL BONSHOCK


Address: 4220 Market St Fl 2, Philadelphia, PA 19104-3007
Phone: 2152406007

DR. RYAN MICHAEL BONSHOCK (NPI# 1831454867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831454867
Entity Type Individual
Full Name DR. RYAN MICHAEL BONSHOCK
Credential M.D.
Practice Address 4220 Market St Fl 2
Philadelphia
PA 19104-3007
Mailing Address 2929 Arch Street
Suite 1705
Philadelphia
PA 19104-2866
Practice Telephone 2152406007
Practice Fax Number 2152406373
Mailing Telephone 2153823680
Mailing Fax Number 2152401677
Enumeration Date 2012-07-05
Last Update Date 2018-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
25MA10161400 NJ Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD459076 PA Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
MD459076 PA Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
25MA10161400 NJ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3401 N Broad St, Philadelphia, PA 191405103 2157077237 2157079389

Office Location

Street Address 4220 MARKET ST FL 2
City PHILADELPHIA
State PA
Zip Code 19104-3007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083144943 Minimally Invasive Care Institute of Philadelphia LLC Clinic/Center 4220 Market St Fl 2, Philadelphia, PA 19104-3007 2017-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184854531 John Yoon Radiology 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 2009-07-20
1144423096 Jonathan Ira Lieberman Radiology 1016 Chestnut St, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5010 2007-06-07
1336188945 David R. Hertzog Radiology 2412 W Passyunk Ave, Philadelphia, PA 19145-4114 2006-06-06
1760441760 James Frederick Mcguckin Jr. Radiology 2929 Arch Street, Suite 1705, Philadelphia, PA 19104-2866 2006-03-20
1588639819 American Access Care of Sp LLC Radiology 2412-14 West Passyunk Ave., Philadelphia, PA 19145-4114 2006-02-21
1104816453 Huynh Doan Radiology Broad & Vine St, Philadelphia, PA 19102 2005-10-27
1174513105 Mark Hysell Radiology Broad & Vine St S, Philadelphia, PA 19102 2005-10-21
1699774257 Image Guided Surgery Associates, PC Radiology 5735 Ridge Ave, Ste 106, Philadelphia, PA 19128-1745 2005-07-17
1033753405 Stc Pediatrics LLC Radiology 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-29
1033670153 Jung Hyun Yun Radiology 5501 Old York Road, Philadelphia, PA 19141 2019-03-29
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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