Ryan Michael Bonshock, M.D.
Individual provider Active NPI Vascular & Interventional Radiology Physician · Glen Mills, PA
NPI 1831454867 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1831454867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- MD459076 (PA)
- Practice address
- 300 Evergreen Dr
Glen Mills, PA 19342-1059 - Phone
- (610) 579-3515
- NPI assigned
- Jul 5, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Temple University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Diagnostic Imaging PC
Scranton Hospitalist Physician Services LLC
The Centers for Advanced Urology LLP
Practice addresses (Care Compare)
1059 2ND St Pike
Richboro, PA 18954-1803
Phone (215) 710-2208
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2000
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4814
1503 Lansdowne Ave
Darby, PA 19023-1330
Phone (610) 237-4814
2002 Foulk Rd
Wilmington, DE 19810-3643
Phone (610) 237-4814
2501 W 5TH St
Wilmington, DE 19805-2904
Phone (610) 237-4814
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6000
575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 770-3432
701 N Clayton St
Wilmington, DE 19805-3165
Phone (610) 237-4814
945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614
Phone (610) 273-5320
Hospital & facility affiliations
- St Mary Medical Center
- Wilkes-Barre General Hospital
- Mercy Catholic Medical Center- Mercy Fitzgerald
- St Francis Hospital
- Nazareth Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160930001171 | PA | Practitioner - Diagnostic Radiology | 3072800275 | Reassigns benefits to 5 organizations |
| I20250226003449 | DE | Practitioner - Diagnostic Radiology | 3072800275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10161400 | NJ | MD | Vascular & Interventional Radiology Physician |
| MD459076 | PA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocono Surgical Associates | Current |
Accepting new patients | |
| Alliance Physician Services, PC | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Scranton Hospitalist Physician Services LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Prospect Health Access Network, Inc. | Current |
Accepting new patients | |
| Southeast Radiology LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Minimally Invasive Care Institute of Lehigh Valley LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Mercy Diagnostic Imaging PC | Diagnostic Radiology | Current |
Accepting new patients |
| Alliance Physician Services, PC | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| James F McGuckin MD of NJ PA | Vascular & Interventional Radiology | Past |
Accepting new patients |
Locations
701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100
210 Commerce Way
Ste 100
Portsmouth, NH 03801
3450 High Point Blvd
Ste F
Bethlehem, PA 18017
Phone (484) 403-1818
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
945 Chesterbrook Blvd
Chesterbrook, PA 19087
Phone (610) 695-8088
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
505 Independence Rd
Ste E
East Stroudsburg, PA 18301
Phone (570) 421-5997
300 Evergreen Dr
Ste 210
Glen Mills, PA 19342
Phone (610) 566-9400
300 Evergreen Dr
Glen Mills, PA 19342
Phone (484) 846-5100
211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910
2929 Arch St
Ste 1705
Philadelphia, PA 19104
175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320
575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222
Interoperability endpoints
- ryan.bonshock.p14@direct.vac.nextgenshare.com
- rbonshock3403354@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA10161400 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | MD459076 | PA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 25MA10161400 | NJ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD459076 | PA | Yes |
Addresses
Primary practice location
300 Evergreen Dr
Glen Mills, PA 19342-1059
Mailing address
3 Oakmont Cir
Glen Mills, PA 19342-1826
Phone (717) 919-3502
Other practice location 1
4220 Market St Fl 2
Philadelphia, PA 19104-3007
Phone (215) 240-6007
Other practice location 2
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-7237
Other providers in Glen Mills, PA
- Rebecca Bogash
- Theresa Rose Bolner
- Kevin Michael Bolton
- Bethany Dawn Bones
- Shannon Bonini
- Kristin Nicole Booth
- Kari Boucher
- Brandywine Dental Services Group
- Andrea Braslove
- Lisa Brendlinger
All providers in Glen Mills, PA · Vascular & Interventional Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.