Shawn A Bonner (NPI# 1336256809, PAC ID# 8426955998) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1336256809 |
PAC ID by PECOS | 8426955998 |
Professional Enrollment ID | I20031218000020 |
Full Name | Shawn A Bonner |
Address |
185 W Main St Suite A New Concord OH 43762-1219 |
Gender | M |
Credential | DO |
Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
Graduation Year | 1996 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360039 | GENESIS HOSPITAL |
360203 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
185 W Main St, Suite A, New Concord, OH 43762-1219 |
Street Address |
185 W MAIN ST SUITE A |
City | NEW CONCORD |
State | OH |
Zip | 43762-1219 |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven B Wootton | Chiropractic | 185 W Main St, Suite E, New Concord, OH 43762-1187 | |
Michael A Miller | Chiropractic | Lane Chiropractic and Acupuncture Wellness Center, LLC | 185 W Main St, Warsaw, MO 65355-3195 |
Emily S Lane | Chiropractic | Lane Chiropractic and Acupuncture Wellness Center, LLC | 185 W Main St, Warsaw, MO 65355-3195 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aaron Brett Lawrence | Optometry | 33 E Main St, New Concord, OH 43762-1214 | |
William H Overholser | Family Medicine | 1 Emain St, Suite 100a, New Concord, OH 43762-1214 | |
Sierra Giesey | Nurse Practitioner | Genesis Medical Group, LLC | 1 E Main St, New Concord, OH 43762-1246 |
Deanna S Holdren | Family Medicine | Genesis Medical Group, LLC | 1 E Main St, New Concord, OH 43762-1246 |
City | NEW CONCORD |
Zip Code | 43762 |
Specialty | INTERNAL MEDICINE |
City + Specialty | NEW CONCORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shawn A 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.