BONZER MEDICAL, LLC (NPI# 1083235188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083235188 |
| Entity Type | Organization |
| Organization Name | BONZER MEDICAL, LLC |
| Practice Address |
4423 S County Road 125 E Greencastle IN 46135-9237 |
| Practice Telephone | 7656538453 |
| Practice Fax Number | 7656538493 |
| Mailing Telephone | 7656538453 |
| Mailing Fax Number | 7656538493 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | CHARLOTTE LOUISE CRAMER (OFFICE MANAGER) |
| Authorized Official Telephone | 7656538453 |
| Authorized Official Credential | OFFICE MANANGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 02002904A | 05 | |
| IN | 200521550 | 05 |
| Other Name | Type Code |
|---|---|
| Bonzer Medical, LLC | Doing Business As Name - Organization |
| Street Address |
4423 S COUNTY ROAD 125 E |
| City | GREENCASTLE |
| State | IN |
| Zip Code | 46135-9237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916260 | Virginia Kay St. John | Technician | 961 Deer Field Court, Greencastle, IN 46135 | 2019-11-07 |
| 1205478138 | Hannah Aker Evans | Nurse Practitioner | Putnam County Hospital, 1542 S. Bloomington St., Greencastle, IN 46135 | 2019-10-11 |
| 1447627757 | Dental Professionals of In, P.C. | Dentist | 1012 Mill Pond Drive Suite A, Greencastle, IN 46135 | 2015-08-24 |
| 1982027702 | Putnam County Auditor | Public Health or Welfare | 1542 S. Bloomington Street, Suite 1500, Greencastle, IN 46135 | 2014-01-30 |
| 1679871685 | Lori A Bradbury | Speech-Language Pathologist | 1014 Mill Pond Lane, Greencastle, IN 46135 | 2011-03-01 |
| 1346568102 | Susan Maybaum | Occupational Therapist | 98 N 10th Street, Greencastle, IN 46135 | 2010-05-04 |
| 1710065065 | Putnam County Comprehensive Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 914 Tennessee St, Greencastle, IN 46135 | 2006-11-02 |
| 1619053626 | Putnam County Comprehensive Service | Day Training, Developmentally Disabled Services | 630 Tennessee St, Greencastle, IN 46135 | 2006-10-31 |
| 1851474167 | Thomas Houston Black IIi | Family Medicine | 1145 Indianapolis Road, Greencastle, IN 46135 | 2006-10-23 |
| 1861574782 | Wal-mart Stores East, Lp | Technician/Technologist | 1750 E. Indianapolis, Greencastle, IN 46135 | 2006-10-19 |
| Find all providers in zip 46135 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013168590 | Roger Samuel Roof | General Practice | 713 Highridge Ave, Greencastle, IN 46135-1409 | 2008-10-02 |
| 1598943060 | Marcel Paul Rohana | General Practice | 1946 W Us Highway 40, Greencastle, IN 46135-8706 | 2008-02-06 |
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| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| 1245742808 | Field & Forest Medical, LLC | General Practice | 18565 S Bandy Ln, Clinton, IN 47842-7334 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | GREENCASTLE |
| Zip Code | 46135 |
Please comment or provide details below to improve the information on BONZER MEDICAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.