Paul Alexander Bonner, DO
Individual provider Active NPI Surgery Physician · Marion, OH
NPI 1033570965 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1033570965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 34.015324 (OH)
- Practice address
- 1040 Delaware Ave
Marion, OH 43302-6416 - Phone
- (403) 837-9507
- NPI assigned
- Mar 20, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marion Area Physicians LLC
Practice addresses (Care Compare)
1040 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936
Hospital & facility affiliations
- Marion General Hospital
- Hardin Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.5 of 100
- Quality
- 71.52
- Promoting interoperability
- 95.57
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 71 |
| Hernia repair (minimally invasive) | 13 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 57 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210924001601 | OH | Practitioner - General Surgery | 6002182128 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015324 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Area Physicians LLC | Surgery | Current |
Accepting new patients |
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
285 E State St
Ste 640
Columbus, OH 43215
Phone (614) 566-0744
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
1050 Delaware Ave
Ste B1200
Marion, OH 43302
1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038
5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34.015324 | OH | Yes |
Addresses
Primary practice location
1040 Delaware Ave
Marion, OH 43302-6416
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Phone (419) 520-2495
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbonner144847@direct.ohiohealth.com | OhioHealth Physician Group |
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.