Courtney Anne Bonner, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34-006885 Issued in OH

Practice address

716 Adair Ave
Zanesville, OH 43701-2836

Phone

(740) 891-9000

Fax

(740) 891-9001

NPI assigned

May 17, 2006

Last updated

Jan 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Courtney Anne Deselm Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Key West Hma Physician Management LLCGroup PAC ID 0749178408, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Island Home Care Home health agency, Key West, FL, CCN 109772
• Lower Keys Medical Center Hospital, Key West, FL, CCN 100150

Merit-based Incentive Payment System (MIPS)

Final score

88.18 of 100Reported as apm

Quality

71.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.bonner.1@4692.direct.athenahealth.com

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.

• Key West Hma Physician Management, LLC

  • Internal Medicine Physician
  • Cudjoe Key, FL
  • NPI 1871548651
  Medicare reassignment Care Compare group NPD
• Key West Hma Physician Management LLC

  • Orthopaedic Surgery Physician
  • Key West, FL
  • NPI 1346548229
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Key West HHA, LLC

  • Home Health Agency
  • Key West, FL
  • NPI 1053833368
  Care Compare affiliation
• Key West Hma LLC

  dba Lower Keys Medical Center

  • General Acute Care Hospital
  • Key West, FL
  • NPI 1619922077
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1225080336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 ADAIR AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012836",
            "telephone_number": "740-891-9000",
            "fax_number": "740-891-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 ADAIR AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012836",
            "telephone_number": "740-891-9000",
            "fax_number": "740-891-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006885",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-006885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136709",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "DESELM",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Boles, COTA
• Bobi Jo Bonar, OTR/L
• Mallory Olivia Bonar, BSW, LSW
• Tierany Lea Bone, BA, LSW
• Jordan Bonier, D.O.
• Rebecca Bookless, L.P.N.
• Jack Branyon Booth, MD
• Farid Bounif, MD
• Jacob Vincent Bourget
• John Alan Bova, LPC, LICDC, CNP-BC

• Internal Medicine Physician in Zanesville, OH
• Providers in Zanesville, 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 Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.