Kimberly Irene Bonk (NPI# 1578013397, PAC ID# 3971885914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1578013397 |
| PAC ID by PECOS | 3971885914 |
| Professional Enrollment ID | I20180327000382 |
| Full Name | Kimberly Irene Bonk |
| Organization Legal Name | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
| Address |
26750 Providence Pkwy Novi MI 48374-1211 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6103738703 |
| Number of Group Practice Members | 166 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 26750 Providence Pkwy, Novi, MI 48374-1211 | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
| Organization Legal Name | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria J Weaver | Nurse Practitioner | Providence - Providence Park Hospital | 21700 Northwestern Hwy 600, Providence Omni Medical, Southfield, MI 48075-4912 |
| Crystal M Kulp | Physician Assistant | Providence - Providence Park Hospital | 22250 Providence Dr, Suite 705, Southfield, MI 48075-6215 |
| Brittni R Merz | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Cessalyn Y Harvey | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Karen Magowan | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Richard A Roodbergen | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Gary Otsuji | Family Practice | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jerry H Rosenberg | Orthopedic Surgery | Providence - Providence Park Hospital | 26850 Providence Pkwy, Novi, MI 48374-1213 |
| Mark M Bahoura | Psychiatry | Providence - Providence Park Hospital | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
| Karen Barnes Mitchell | Family Practice | Providence - Providence Park Hospital | 22250 Providence Dr, 301b, Southfield, MI 48075-6211 |
| Street Address |
26750 PROVIDENCE PKWY |
| City | NOVI |
| State | MI |
| Zip | 48374-1211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Braswell Deen | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey D Placzek | Hand Surgery | Michigan Hand and Wrist, P.C. | 26750 Providence Pkwy, Suite 220, Novi, MI 48374-1212 |
| Jeffrey J Kirouac | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Ashwini Mahindrakar | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 240, Novi, MI 48374-1211 |
| Victoria N Dooley | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Amy R Shepard | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Shad Siddiqi | Pain Management | Porretta Center for Orthopaedic Surgery PC | 26750 Providence Pkwy, Suite 200, Novi, MI 48374-1212 |
| Diana A Haidar | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Jeffrey J Kimpson | Anesthesiology | Michigan Pain Management Consultants-west, PC | 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211 |
| Lorenzo Ray M Lim | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Farley | Family Medicine | Primecare On Wixom Pllc | 27250 Wixom Rd A, Novi, MI 48374-1116 |
| Terri Ann Kovacic | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan II PC | 26750 Providence Pkwy, Suite 100, Novi, MI 48374-1211 |
| Eric A Tomei | Physical Therapy | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Jessica L Wentworth | Nurse Practitioner | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Michael P Montico | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Mohomad Al Sawah | Podiatry | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Marc A Borovoy | Podiatry | Associated Podiatrists PC | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 |
| Linda S Greenwood | Physician Assistant | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Gregory M Cibor | Family Medicine | Ascension Providence Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Mark K Banno | Family Medicine | Ascension Medical Group Michigan | 26750 Providence Pkwy, Novi, MI 48374-1211 |
| Find all physicians in zip 48374 | |||
| City | NOVI |
| Zip Code | 48374 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NOVI + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kimberly Irene Bonk.
| 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.