Individual provider Active NPI

Bonnie Eugenia, PA-C

  • Medical Physician Assistant
  • Grove City, OH
National Provider Identifier
1104688027
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.008618RX Issued in OH
Practice address
2441 Old Stringtown Rd
Grove City, OH 43123-3922
Phone
(614) 317-9990
NPI assigned
Jan 25, 2024
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.008618RX OH Primary

Addresses

Primary practice location

2441 Old Stringtown Rd
Grove City, OH 43123-3922

Mailing address

2441 Old Stringtown Rd
Grove City, OH 43123-3922
Phone (614) 317-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216002518 OH Practitioner - Physician Assistant 5496199523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Sleep Medicine, LLCGroup PAC ID 6507869765, 5 clinicians

Practice addresses (Care Compare)

2441 Old Stringtown Rd
Grove City, OH 43123-3922
Phone (614) 317-9990

4845 Knightsbridge Blvd
Suite 215
Columbus, OH 43214-2463
Phone (614) 317-9990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.008618RXOHMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1104688027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 OLD STRINGTOWN RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233922",
            "telephone_number": "614-317-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 OLD STRINGTOWN RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233922",
            "telephone_number": "614-317-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUGENIA",
        "first_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.008618RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.