Individual provider Active NPI

Jane A Bondi, MSHS PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1063869303
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.000813RX Issued in OH
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

Updated by the provider on May 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
50.000813RXOHMDMedical 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.

Verify at the official NPI Registry.