Gregory J. Bonavita, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

35-06-7797 Issued in OH

Practice address

2600 6TH St SW
Suite A2-710
Canton, OH 44710-1702

Phone

(440) 454-8076

Fax

(330) 454-3927

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

80.19 of 100Reported as group

Quality

63.25

Promoting interoperability

98

Improvement activities

40

Cost

72.4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregory.bonavita@direct.aultman.org

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

• Orrville Hospital Foundation

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Medicare reassignment NPD
• The Union Hospital Association

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Medicare reassignment NPD
• Orrville Hospital Foundation

  • Rural Health Clinic/Center
  • Carrollton, OH
  • NPI 1902655681
  NPD
• The Union Hospital Association

  • Community/Retail Pharmacy
  • Dover, OH
  • NPI 1023316700
  NPD

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1306825336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "SUITE A2-710",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "440-454-8076",
            "fax_number": "330-454-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "SUITE A2-710",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "440-454-8076",
            "fax_number": "330-454-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVITA",
        "first_name": "GREGORY",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35-06-7797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128883",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Bole, CNP
• Cynthia G. Boley, QMHS
• Brooks E Bolyard, MD
• Jennifer Bolyard, MD
• Tracy Ann Bolyard, MSW, LISW
• Elizabeth Ann Bonchek
• Justin Boney, LPCC-S
• Kevin Bonner
• Robin Bonner
• Cheri Boone

• Clinical Cardiac Electrophysiology Physician in Canton, OH
• Providers in Canton, OH by specialty
• Clinical Cardiac Electrophysiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.