Active NPI
Jane A Bondi, MSHS PA-C
- Physician Assistant
- Cleveland, OH
National Provider Identifier
1063869303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.000813RX
- Practice address
- 2307 W 14TH St
Cleveland, OH 44113-3612 - Phone
- (216) 687-4003
- Fax
- (216) 687-4069
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.000813RX | OH | Primary |
| Medical Physician Assistant | 363AM0700X | 50.000813RX | OH |
Addresses
Primary practice location
2307 W 14TH St
Cleveland, OH 44113-3612
Mailing address
2307 W 14TH St
Cleveland, OH 44113-3612
Phone (216) 687-4003
Other names 1
- Jane Becka Bondi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.000813RX | OH | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1063869303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 W 14TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133612",
"telephone_number": "216-687-4003",
"fax_number": "216-687-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 W 14TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133612",
"telephone_number": "216-687-4003",
"fax_number": "216-687-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONDI",
"first_name": "JANE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MSHS PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.000813RX",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.000813RX",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "BONDI",
"middle_name": "BECKA",
"credential": "PHYSICIAN ASSISTANT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.