Active NPI
John Adam Bonk, MD
- Emergency Medicine Physician
- Grants Pass, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD166835
- Practice address
- 500 SW Ramsey Ave
Grants Pass, OR 97527-5554 - Phone
- (541) 472-7000
- Fax
- (937) 384-6896
- NPI assigned
- Jun 4, 2010
- Last updated
- Aug 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Emergency Medicine Physician | 207P00000X | MD166835 | OR | Primary |
Addresses
Primary practice location
500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Mailing address
PO Box 4749
Grants Pass, OR 97501-0227
Phone (541) 789-5516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000
557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-7281
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harney District Hospital | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Western Healthcare Services Texas | Emergency Medicine | Current | Accepting new patients |
| Asante | Current | Accepting new patients | |
| Asante Ashland Community Hospital, LLC | Current | Accepting new patients | |
| Asante | Current | Accepting new patients | |
| Asante Three Rivers Medical Center, LLC | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Emergency Medicine | Past | Accepting new patients |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
280 Maple St
Ashland, OR 97520
Phone (541) 201-4000
500 5th St
Brookings, OR 97415
Phone (541) 412-2000
557 W Washington St
Burns, OR 97720
Phone (541) 573-3682
94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000
600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Asante Rogue Regional Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- Critical Access Hospital
- Burns, OR
- NPI 1285742338
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
dba Good Shepherd Medical Center
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Emergency Medicine Physician
- Gold Beach, OR
- NPI 1336878024
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
-
dba Harney District Hospital Family Care
- Rural Health Clinic/Center
- Burns, OR
- NPI 1013276195
-
dba NewSun Energy & Harney District Hospital Specialty Care
- Multi-Specialty Clinic/Center
- Burns, OR
- NPI 1972113306
-
dba St. Charles Prineville
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
Emergency Medicine
-
dba St. Charles Behavioral Health
- Clinical Social Worker
- Bend, OR
- NPI 1780698696
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
Emergency Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Asante Rogue Regional Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- Critical Access Hospital
- Burns, OR
- NPI 1285742338
-
dba NewSun Energy & Harney District Hospital Specialty Care
- Multi-Specialty Clinic/Center
- Burns, OR
- NPI 1972113306
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1689994337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4749",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975010227",
"telephone_number": "541-789-5516",
"fax_number": "541-789-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SW RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275554",
"telephone_number": "541-472-7000",
"fax_number": "937-384-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONK",
"first_name": "JOHN",
"middle_name": "ADAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-04",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD166835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.