Bonnie Stamatis, MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35064311 Issued in OH

Legal business name

BONNIE STAMATIS, MD INC

Practice address

5077 Waterford Dr Ste 305
Sheffield Village, OH 44035-0705

Phone

(440) 365-4800

NPI assigned

Jan 23, 2007

Last updated

Dec 6, 2022By 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

Bonnie Stamatis, M.D.NPI 1982677399

Title

President

Phone

(440) 365-4800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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.

• Bonnie Stamatis, M.D.

  • Internal Medicine Physician
  • Sheffield Village, OH
  • NPI 1982677399
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1164576286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356542",
            "telephone_number": "440-365-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5077 WATERFORD DR STE 305",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440350705",
            "telephone_number": "440-365-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE STAMATIS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "STAMATIS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-365-4800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35064311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Lee Bennett, DC,DAAPM
• Robert Jon Berkowitz, MD
• Rebecca Terese Biro, OT
• Mary Carpenter Boia, M.A.CCC-SLP
• Brittney Renee Bolton, DPM
• Amy Ann Bradbury, PA-C
• Jessica Brake, DPT
• Jarod Bronstrup
• Dequan Artrell Brown, M.ED, LPCC
• Sarah Ashley Brown, BSW

• Internal Medicine Physician in Sheffield Village, OH
• Providers in Sheffield Village, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.