Courtney Bonner Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34 006885 Issued in OH

Legal business name

COURTNEY BONNER INC.

Practice address

1420 Clark St
Cambridge, OH 43725-9617

Phone

(740) 435-2525

NPI assigned

Oct 10, 2007

Last updated

Oct 18, 2007By 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

Cindy Heller

Title

Practice Coordinator

Phone

(740) 439-0733

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1326236878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259617",
            "telephone_number": "740-435-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259617",
            "telephone_number": "740-435-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY BONNER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "740-439-0733"
    },
    "taxonomies": [
        {
            "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": []
}

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• Internal Medicine Physician in Cambridge, OH
• Providers in Cambridge, 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 Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.