Active NPI
Bonnie L McNamara, MD
- Family Medicine Physician
- Lima, OH
National Provider Identifier
1932166345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35062425
- Practice address
- 1005 Bellefontaine Ave Ste 300
Lima, OH 45804-2881 - Phone
- (419) 334-3869
- Fax
- (419) 334-8546
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35062425 | OH | Primary |
Addresses
Primary practice location
1005 Bellefontaine Ave Ste 300
Lima, OH 45804-2881
Mailing address
2221 Hayes Ave
Fremont, OH 43420-2632
Phone (419) 334-8943
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000201718 | Other | OH | ANTHEM |
| 080164655 | Other | OH | RAILROAD MEDICARE |
| 03887 | Other | OH | PARAMOUNT |
| 0935699 | Medicaid | OH | |
| 735050 | Other | OH | BUCKEYE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35062425 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community and Rural Health Services | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2221 Hayes Ave
Fremont, OH 43420
Phone (419) 334-3869
1005 Bellefontaine Ave
Ste 300
Lima, OH 45804
Phone (419) 225-0110
407 Independence Dr
Napoleon, OH 43545
Phone (419) 334-3869
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Fremont, OH
- NPI 1780683573
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1932166345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 HAYES AVE",
"city": "FREMONT",
"state": "OH",
"postal_code": "434202632",
"telephone_number": "419-334-8943",
"fax_number": "419-334-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 BELLEFONTAINE AVE STE 300",
"city": "LIMA",
"state": "OH",
"postal_code": "458042881",
"telephone_number": "419-334-3869",
"fax_number": "419-334-8546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "BONNIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35062425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000201718",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080164655",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "03887",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0935699",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "735050",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.