Individual provider Active NPI

Andrew Bonsky, PA

  • Physician Assistant
  • Mayfield Village, OH
National Provider Identifier
1255437190
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-00-0851 Issued in OH
Practice address
6300 Wilson Mills Rd
Mayfield Village, OH 44143-2109
Phone
(440) 395-2030
Fax
(440) 446-7878
NPI assigned
Sep 16, 2006
Last updated
May 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-00-0851 OH Primary

Addresses

Primary practice location

6300 Wilson Mills Rd
Mayfield Village, OH 44143-2109

Mailing address

10935 Huntington Close
North Royalton, OH 44133-1700
Phone (216) 215-2197

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
I20080306000029 OH Practitioner - Physician Assistant 0840375507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

1634 Snow Rd
Parma, OH 44134-2719
Phone (440) 368-1520

2209 Crocker Rd
Suite D
Westlake, OH 44145-6727
Phone (440) 249-6060

3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810

6836 Ridge Rd
Parma, OH 44129-5627
Phone (216) 490-1120

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Urgent Care, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

Interoperability endpoints

  • Direct secure messaging: abonsky643723@ehrdirect.uhhospitals.org

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1255437190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 HUNTINGTON CLOSE",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331700",
            "telephone_number": "216-215-2197",
            "fax_number": "440-446-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WILSON MILLS RD",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432109",
            "telephone_number": "440-395-2030",
            "fax_number": "440-446-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSKY",
        "first_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-00-0851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Village, OH

Sources for this page

Verify at the official NPI Registry.