Gwen Lindsey Bonner (NPI# 1386901015, PAC ID# 0042591240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1386901015 |
| PAC ID by PECOS | 0042591240 |
| Professional Enrollment ID | I20180913000043 |
| Full Name | Gwen Lindsey Bonner |
| Organization Legal Name | CANTON-POTSDAM HOSPITAL |
| Address |
80 E Main St Canton NY 13617-1450 |
| Phone Number | 3153863300 |
| Gender | F |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6204827280 |
| Number of Group Practice Members | 145 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330197 | CANTON-POTSDAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 80 E Main St, Canton, NY 13617-1450 | 3153863300 | CANTON-POTSDAM HOSPITAL |
| Organization Legal Name | CANTON-POTSDAM HOSPITAL |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Grimshaw | Family Medicine | Canton-potsdam Hospital | 49 Lawrence Ave, Potsdam, NY 13676-1889 |
| Hamza Tarek Malek | Neurology | Canton-potsdam Hospital | 6119 Us Hwy 11, Canton, NY 13617-3991 |
| Amanda L Hance | Nurse Practitioner | Canton-potsdam Hospital | 77 W Barney St, Cph Specialty Suites At Gvnr, Governed, NY 13642-1040 |
| Heather Munz | Physician Assistant | Canton-potsdam Hospital | 80 E Main St, Canton, NY 13617-1450 |
| Krista Fuller | Certified Registered Nurse Anesthetist (crna) | Canton-potsdam Hospital | 50 Leroy St, Potsdam, NY 13676-1786 |
| Eleazar Ogarro | Obstetrics/gynecology | Canton-potsdam Hospital | 190 Outer Main St, Potsdam, NY 13676-2356 |
| Chinyere Mgbahuru Nwosu | Internal Medicine | Canton-potsdam Hospital | 15 Raymond St, Potsdam, NY 13676-1163 |
| Julie Lynn Lawless | Clinical Social Worker | Canton-potsdam Hospital | 50 Leroy St, Potsdam, NY 13676-1786 |
| Robert A Worden | Certified Registered Nurse Anesthetist (crna) | Canton-potsdam Hospital | 50 Leroy St, Potsdam, NY 13676-1786 |
| Aaron R Cooper | Physician Assistant | Canton-potsdam Hospital | 50 Leroy St, Potsdam, NY 13676-1786 |
| Street Address |
80 E MAIN ST |
| City | CANTON |
| State | NY |
| Zip | 13617-1450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Munz | Physician Assistant | Canton-potsdam Hospital | 80 E Main St, Canton, NY 13617-1450 |
| Melchiore Louis Buscemi | Urology | 80 E Main St, Canton, NY 13617-1450 | |
| Maria Jimena Galimidi | Podiatry | Canton-potsdam Hospital | 80 E Main St, Canton, NY 13617-1450 |
| Lars D Thompson | Urology | 80 E Main St, Canton, NY 13617-1450 | |
| Amy Altenhaus | Psychologist, Clinical | 80 E Main St, Freehold, NJ 07728-2223 | |
| Tara L Swinwood | Nurse Practitioner | Canton-potsdam Hospital | 80 E Main St, Canton, NY 13617-1450 |
| Ashley Elizabeth Toohill | Physician Assistant | Canton-potsdam Hospital | 80 E Main St, Canton, NY 13617-1450 |
| Dawn M White | Physician Assistant | Canton-potsdam Hospital | 80 E Main St, Canton, NY 13617-1450 |
| Rosemarie C Heisse | Emergency Medicine | Canton-potsdam Hospital | 80 E Main St, Canton, NY 13617-1450 |
| Stephen P Hinman | Physician Assistant | Canton-potsdam Hospital | 80 E Main St, Canton, NY 13617-1450 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sebastian A Mazzotta | Gastroenterology | Sebastian A Mazzotta PC | 4 Stillman Dr, Canton, NY 13617-1221 |
| Shanna U White | Physician Assistant | Claxton-hepburn Medical Center | 39 W Main St, Canton Health and Diagnostic Center, Canton, NY 13617-1255 |
| Raymond Edward Megerle | Physician Assistant | Claxton-hepburn Medical Center | 39 W Main St, Canton Health and Diagnostic Center, Canton, NY 13617-1255 |
| John W Gebert | Radiation Oncology | Claxton-hepburn Medical Center | 39 W Main St, Canton, NY 13617-1255 |
| Brooke A Baker | Nurse Practitioner | Healey Medical Practice, Pllc | 25 Park St, Canton, NY 13617-1265 |
| Kimberly M Mckenney | Family Medicine | Healey Medical Practice, Pllc | 25 Park St, Canton, NY 13617-1265 |
| Gregory J Healey | Family Medicine | Healey Medical Practice, Pllc | 25 Park St, Canton, NY 13617-1265 |
| Amanda L Persons | Physician Assistant | Healey Medical Practice, Pllc | 25 Park St, Canton, NY 13617-1265 |
| Joanne B Scott | Physician Assistant | Healey Medical Practice, Pllc | 25 Park St, Canton, NY 13617-1265 |
| Margaret T Ecker | Physician Assistant | Claxton-hepburn Medical Center | 39 W Main St, Canton, NY 13617-1358 |
| Find all physicians in zip 13617 | |||
| City | CANTON |
| Zip Code | 13617 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CANTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Gwen Lindsey Bonner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.