Pcrmc - Bond Clinic Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

116667 Issued in MP

Legal business name

PCRMC - BOND CLINIC MEDICAL GROUP

Practice address

600 Blues Lake Pkwy
Rolla, MO 65401-8022

Phone

(573) 364-8822

Fax

(573) 341-5969

NPI assigned

Mar 17, 2010

Organization subpart

Yes

Parent organization

PHELPS COUNTY REGIONAL MEDICAL CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cathy Bond, D.O.

Title

Medical Director

Phone

(573) 364-8822

Specialties & licenses 15

Addresses

Other names 1

• Bond Clinic Doing business as

Part of

Phelps County

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Phelps County Regional Medical Center

  • Skilled Nursing Facility
  • Rolla, MO
  • NPI 1578559076

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lowell R Fisher, DO

  • Surgery Physician
  • Rolla, MO
  • NPI 1841282860
  NPD (past)
• Kevin A. O'Connell, M.D.

  • Otolaryngic Allergy Physician
  • Warsaw, NY
  • NPI 1720262686
  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1811211063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLUES LAKE PKWY",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654018022",
            "telephone_number": "573-364-8822",
            "fax_number": "573-341-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BLUES LAKE PKWY",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654018022",
            "telephone_number": "573-364-8822",
            "fax_number": "573-341-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCRMC - BOND CLINIC MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHELPS COUNTY REGIONAL MEDICAL CENTER",
        "enumeration_date": "2010-03-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "573-364-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8583",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "30610",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R7D34",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MP",
            "license": "116667",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "R7812",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "114610",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MO",
            "license": "2006036024",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MO",
            "license": "119445",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2001015853",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "MO",
            "license": "117468",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "112148",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2006005292",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2006001740",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "128892",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2002005692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bond Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bond Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnnie Winifred Parker, FNP
• Chloe Anastasia Parr, LP
• Julie Ann Parsons, LMSW
• Yogesh R Patel, MD
• Pathways Community Behavioral Healthcare, Inc
• Pcrmc Medical Group Inc
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• Pcrmc Medical Group, Inc
• Pcrmc-Health Services, Inc.
• Pcrmc-Health Services, Inc.

• Internal Medicine Physician in Rolla, MO
• Providers in Rolla, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.