Bonnie Eaton Sirko, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 8751 Issued in OH

Practice address

4070 W 220TH St
Fairview Park, OH 44126-1165

Phone

(440) 409-9784

Fax

(800) 489-8816

NPI assigned

Jul 31, 2007

Sex

Female

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1760672166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 W 220TH ST",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261165",
            "telephone_number": "440-409-9784",
            "fax_number": "800-489-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 W 220TH ST",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261165",
            "telephone_number": "440-409-9784",
            "fax_number": "800-489-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRKO",
        "first_name": "BONNIE",
        "middle_name": "EATON",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 8751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Sidari
• Signature Meds, LLC
• Leroy Sims Jr.
• Patricia Lyn Sinclair
• Bernadette Sipple, O.D.
• Stacy Slack
• Kaitlyn Elizabeth Smith
• Mallory Krolikowski Smith, MT-BC, LPCC
• Neil P Smith, DO
• Todd W Smith, D.C.

• Speech-Language Pathologist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.