Organization Active NPI

John E Buonora Crna, S.C.

  • Anesthesiology Physician
  • Oshkosh, WI
National Provider Identifier
1043316839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JOHN E BUONORA CRNA, S.C.
Practice address
501 Doctors CT
Oshkosh, WI 54901-2025
Phone
(920) 303-5100
NPI assigned
Sep 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John E Buonora
Title
Owner
Phone
(920) 303-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X WI Primary

Addresses

Primary practice location

501 Doctors CT
Oshkosh, WI 54901-2025

Mailing address

3420 Jackson St
Suite E
Oshkosh, WI 54901-8144
Phone (920) 426-2211

Other identifiers 1

IdentifierTypeStateIssuer
43388700MedicaidWI

National Provider Directory

National Provider Directory

Locations

3420 Jackson St
Ste E
Oshkosh, WI 54901
Phone (920) 426-2211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043316839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 JACKSON ST",
            "address_2": "SUITE E",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549018144",
            "telephone_number": "920-426-2211",
            "fax_number": "920-426-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DOCTORS CT",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012025",
            "telephone_number": "920-303-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E BUONORA CRNA, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUONORA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-303-5100"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43388700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.