Organization Active NPI

B S Bonyo DO & Associates Inc

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1154543213
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007305B Issued in OH
Legal business name
B S BONYO DO & ASSOCIATES INC
Practice address
1569 Vernon Odom Blvd
Akron, OH 44320-4089
Phone
(330) 867-7544
Fax
(330) 867-7434
NPI assigned
May 2, 2007
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Dr. Benson S. Bonyo, DONPI 1386725125
Title
Owner
Phone
(330) 867-7544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34007305B OH Primary

Addresses

Primary practice location

1569 Vernon Odom Blvd
Akron, OH 44320-4089

Mailing address

1569 Vernon Odom Blvd
Akron, OH 44320-4089
Phone (330) 867-7544

Other identifiers 2

IdentifierTypeStateIssuer
2735562MedicaidOH
2314221MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000055 OH Part B Supplier - Clinic/Group Practice 3870498744 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0995644B S Bonyo DO & Associates Inc1569 Vernon Odom Boulevard, Akron, OH 44320Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

1569 Vernon Odom Blvd
Akron, OH 44320
Phone (330) 867-5192

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHBAA

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1154543213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 VERNON ODOM BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204089",
            "telephone_number": "330-867-7544",
            "fax_number": "330-867-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 VERNON ODOM BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204089",
            "telephone_number": "330-867-7544",
            "fax_number": "330-867-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B S BONYO DO & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "BONYO",
        "authorized_official_first_name": "BENSON",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-867-7544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007305B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2735562",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.