Active NPI
Bonnie Cork, AU.D.
- Audiologist
- Canton, OH
National Provider Identifier
1609244904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-01509
- Practice address
- 4048 Dressler Rd NW Ste 100
Canton, OH 44718-2784 - Phone
- (330) 479-3333
- Fax
- (330) 479-3334
- NPI assigned
- Sep 3, 2015
- Last updated
- Sep 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-01509 | OH | Primary |
Addresses
Primary practice location
4048 Dressler Rd NW Ste 100
Canton, OH 44718-2784
Mailing address
4048 Dressler Rd NW Ste 100
Canton, OH 44718-2784
Phone (330) 479-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-01509 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1609244904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4048 DRESSLER RD NW STE 100",
"city": "CANTON",
"state": "OH",
"postal_code": "447182784",
"telephone_number": "330-479-3333",
"fax_number": "330-479-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 DRESSLER RD NW STE 100",
"city": "CANTON",
"state": "OH",
"postal_code": "447182784",
"telephone_number": "330-479-3333",
"fax_number": "330-479-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORK",
"first_name": "BONNIE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A-01509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.