Patrick Corkrean Bonasso, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

WV13108 Issued in WV

Practice address

1703 Locust Ave
Fairmont, WV 26554-1320

Phone

(304) 366-6100

Fax

(304) 366-2220

NPI assigned

Sep 21, 2006

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: pbonasso@yourcarecommunity.org

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.

• Womancare, Inc.

  • Obstetrics & Gynecology Physician
  • Fairmont, WV
  • NPI 1437227311
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1740389485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541320",
            "telephone_number": "304-366-6100",
            "fax_number": "304-366-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541320",
            "telephone_number": "304-366-6100",
            "fax_number": "304-366-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Mon Health Medical Park Dr Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051168",
            "country_code": "US",
            "telephone_number": "304-599-6811",
            "fax_number": "304-599-7159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONASSO",
        "first_name": "PATRICK",
        "middle_name": "CORKREAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "WV13108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094765000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyson Denise Boe, SLP
• Seth Aaron Bohrer, DPT
• Destiny Rose Bolyard
• Cynthia Leah Bonafield, DDS
• Franklin David Bonasso, DDS
• Sarah Bonasso, PNP
• Tressa Bonasso
• Marilyn Judy Bonfili, MD
• Taylor Bonnett
• Barbara Arlene Boone

• Obstetrics & Gynecology Physician in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.