Active NPI
Michael J Bonar, MD
- Anatomic Pathology & Clinical Pathology Physician
- Middletown, OH
National Provider Identifier
1750366316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35051296
- Practice address
- 105 McKnight Dr
Middletown, OH 45044-4838 - Phone
- (513) 424-2111
- NPI assigned
- Dec 7, 2005
- Last updated
- Jun 6, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35051296 | OH | Primary |
Addresses
Primary practice location
105 McKnight Dr
Middletown, OH 45044-4838
Mailing address
PO Box 640807
Cincinnati, OH 45264-0801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00162478 | Other | RAILROAD MEDICARE | |
| 0627512 | Medicaid | OH |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathologists for Physicians and Surgeons Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Hamilton, OH
- NPI 1023382454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1750366316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640807",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452640801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MCKNIGHT DR",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450444838",
"telephone_number": "513-424-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONAR",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35051296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00162478",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0627512",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
- Black's Hearing Aid Services, Inc. (Beltone Audiology and Hearing Care)
- Beyandra Blanchard
- Charles Joseph Bogenschutz Jr., CDCA
- Anne Holloway Bohannon, M.S. CCC-SLP
- Timothy Patrick Bonacum, PT, DPT, ATC
- Christina Joy Bonniwell, MFTI
- Paula Suzanne Booth, RN
- Richard Brian Boster, MD
- Jo Ann Bowens
- Krista Bowling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.