Bonk Internal Medicine,Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

277 Issued in TN

Legal business name

BONK INTERNAL MEDICINE,INC.

Doing business as

Amy Bonk-Chanin, MSPAC

Practice address

5575 Poplar Ave Ste 504
Memphis, TN 38119-0821

Phone

(901) 761-1850

NPI assigned

Mar 24, 2014

Last updated

Mar 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amy Bonk-Chanin, MS, PACNPI 1316095532

Title

President

Phone

(901) 761-1850

Specialties & licenses 1

Addresses

Other names 1

• Amy Bonk-Chanin, MSPAC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Bonk-Chanin, P.A.-C.

  • Medical Physician Assistant
  • Memphis, TN
  • NPI 1316095532
  Authorized official Same address or phone
• James Earle Boone, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1396781118
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1972920452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 POPLAR AVE STE 504",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190821",
            "telephone_number": "901-761-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 POPLAR AVE STE 504",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190821",
            "telephone_number": "901-761-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONK INTERNAL MEDICINE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "BONK-CHANIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-761-1850",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, PAC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Bonk-Chanin, MSPAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Shaniya Bonds
• Porsha Bonds, FNP
• Rateesha Q Bonds, APN
• Erica Louise Bone, CRNA
• Stacey Bonham-Palas, DNP, AGACNP
• Amy Bonk-Chanin, P.A.-C.
• Bonner Medical and Behavioral Health Specialists, PLLC
• Tiffany Nicole Bonner-Burton
• Adrianne Bonner, RDMS
• Amber Bonner, MS, CCC-SLP

• Primary Care Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.