Active NPI
Parkside Orthopedic Associates
- Orthopaedic Surgery Physician
- Hermitage, PA
National Provider Identifier
1770520322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PARKSIDE ORTHOPEDIC ASSOCIATES
- Practice address
- 1599 N Hermitage Rd
Hermitage, PA 16148-3180 - Phone
- (724) 962-9622
- Fax
- (724) 962-6027
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerome H Bonier, DO
- Title
- President
- Phone
- (724) 962-9622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1599 N Hermitage Rd
Hermitage, PA 16148-3180
Mailing address
1599 N Hermitage Rd
Hermitage, PA 16148-3180
Phone (724) 962-9622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0502594 | Medicaid | OH | |
| 0008605210003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
650 Youngstown Warren Rd
Ste 3
Niles, OH 44446
Phone (216) 652-2221
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1770520322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1599 N HERMITAGE RD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483180",
"telephone_number": "724-962-9622",
"fax_number": "724-962-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1599 N HERMITAGE RD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483180",
"telephone_number": "724-962-9622",
"fax_number": "724-962-6027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKSIDE ORTHOPEDIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "BONIER",
"authorized_official_first_name": "JEROME",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-962-9622",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0502594",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008605210003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.