Bonnie Ann Owen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.002088 Issued in OH

Practice address

27100 Chardon Rd
Richmond Heights, OH 44143-1116

Phone

(440) 585-6500

Fax

(330) 345-2473

NPI assigned

Jan 18, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1558547703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2688 E SMITHVILLE WESTERN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911051",
            "telephone_number": "330-466-1262",
            "fax_number": "330-345-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 CHARDON RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431116",
            "telephone_number": "440-585-6500",
            "fax_number": "330-345-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "BONNIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PA251-91",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.