Organization Active NPI

Shawn a. Bonner D.O., Inc

  • Internal Medicine Physician
  • Zanesville, OH
National Provider Identifier
1689862997
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-007216-B Issued in OH
Legal business name
SHAWN A. BONNER D.O., INC
Practice address
2447 Maple Ave
Zanesville, OH 43701-1831
Phone
(740) 454-4800
Fax
(740) 454-4838
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. Shawn Andrew Bonner, D.O.
Title
Physician/President
Phone
(740) 454-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34-007216-B OH Primary

Addresses

Primary practice location

2447 Maple Ave
Zanesville, OH 43701-1831

Mailing address

2447 Maple Ave
Zanesville, OH 43701-1831
Phone (740) 454-4800

Other identifiers 1

IdentifierTypeStateIssuer
2158687MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1689862997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011831",
            "telephone_number": "740-454-4800",
            "fax_number": "740-454-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011831",
            "telephone_number": "740-454-4800",
            "fax_number": "740-454-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN A. BONNER D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "740-454-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-007216-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158687",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.