DR. JAMES THEODOR BONUCCHI (NPI# 1225054109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225054109 |
| Entity Type | Individual |
| Full Name | DR. JAMES THEODOR BONUCCHI |
| Credential | DO |
| Practice Address |
960 E Walnut Lawn Suite 201 Springfield MO 65807 |
| Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
| Practice Telephone | 4172694450 |
| Practice Fax Number | 4172694470 |
| Mailing Telephone | 4172695712 |
| Mailing Fax Number | 4172697567 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 3718 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2008009810 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
960 E WALNUT LAWN SUITE 201 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023726 | Linda R. Macgorman | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2005-06-20 |
| 1851753826 | Alina Cummins | Physician Assistant | 960 E Walnut Lawn, Springfield, MO 69580 | 2016-03-28 |
| 1275896326 | Kelley Ray Jenkins | Nurse Practitioner | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2012-06-22 |
| 1124347752 | Belinda Kesterson | Physician Assistant | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2010-05-21 |
| 1629204003 | Nadir Khir | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2009-05-31 |
| 1609066950 | Jacqueline L Cook | Nurse Practitioner | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2007-08-01 |
| 1538383781 | Hussam H Alhawari | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2007-04-12 |
| 1396825303 | Hilari M Henderson | Physician Assistant | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2006-10-16 |
| 1780784298 | Donna M Roberts | Family Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2006-09-24 |
| 1831198993 | Jonben D Svoboda | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2005-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1710243621 | Michele A Gortakowski | Internal Medicine | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2012-04-04 |
| 1538319447 | Joy Debbie Sudler | Internal Medicine | 28 Cottage Ln, Springfield, NJ 07081-2303 | 2008-09-27 |
| 1295714657 | Catherine M Hegarty | Internal Medicine | 2150 Main Street, Springfield, MA 01104 | 2006-01-13 |
| 1174510978 | Marina K Russo | Internal Medicine | 1118 Legacy Pointe Dr, Springfield, IL 62711 | 2005-10-05 |
| 1124023726 | Linda R. Macgorman | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2005-06-20 |
| 1871948414 | Prospect Health Access Network, Inc. | Internal Medicine | 190 W Sproul Rd, Suite 102, Springfield, PA 19064-2027 | 2016-05-02 |
| 1467894527 | Sanober Parveen | Internal Medicine | 751 N Rutledge St Ste 1700, Springfield, IL 62702-4968 | 2013-07-17 |
| 1811338841 | Mariam Murtaza Ali | Internal Medicine | 751 N Rutledge St Ste 1700, Springfield, IL 62702-4968 | 2013-07-05 |
| 1316382823 | Cecilia A Davis | Internal Medicine | 3300 Main Street, Springfield, MA 01107-1112 | 2013-05-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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| 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.