Roger D. Bonham M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R6F35 Issued in MO

Legal business name

ROGER D. BONHAM M.D., P.C.

Practice address

500 N Keene St
Suite 101
Columbia, MO 65201-8105

Phone

(573) 449-3846

Fax

(573) 449-3706

NPI assigned

Mar 9, 2007

Last updated

Sep 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Cundiff

Title

General Manager

Phone

(573) 449-3846

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger D Bonham, M.D.

  • Ophthalmology Physician
  • Columbia, MO
  • NPI 1407855778
  Medicare reassignment NPD
• Amy Ajans Zguta, MD

  • Ophthalmology Physician
  • Columbia, MO
  • NPI 1376700823
  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1063544674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018105",
            "telephone_number": "573-449-3846",
            "fax_number": "573-449-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018105",
            "telephone_number": "573-449-3846",
            "fax_number": "573-449-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER D. BONHAM M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "573-449-3846"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R6F35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202256202",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DH1046",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelina Starr Rodriguez
• Mary Michelle Rodriguez, MSW
• Matthew David Roehrs, DO
• Megan B Roemer, DPT
• Greta Roettgen
• Jerry B Rogers, MD
• Kittie A Rogers, MSW, LCSW
• Megan Rogers
• Phillip Paul Rohde, M.D.
• Morgan Rohloff

• Ophthalmology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.