JOSEPH BONANNO (NPI# 1245234822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245234822 |
| Entity Type | Individual |
| Full Name | JOSEPH BONANNO |
| Credential | MD |
| Practice Address |
4137 N 108th Ave Phoenix AZ 85037-5459 |
| Practice Telephone | 6238777337 |
| Practice Fax Number | 6237720686 |
| Mailing Telephone | 6238777337 |
| Mailing Fax Number | 6237720686 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2011-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 19131 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 295974 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891094546 | Joseph P Bonanno | Obstetrics & Gynecology | 1010 Dixie Hwy Ste 313, Chicago Heights, IL 60411-2666 | 2011-03-21 |
| 1750460960 | Joseph Bonanno | Internal Medicine | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2006-11-06 |
| 1811093057 | Joseph Bonanno | Internal Medicine | 26 Center Cir, Wassaic, NY 12592-2637 | 2006-09-15 |
| 1558339176 | Joseph A Bonanno | Specialist | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5138 | 2006-03-09 |
| 1083619399 | Joseph J. Bonanno | Radiology | 1026 Mar Walt Dr, Fort Walton Beach, FL 32547-6645 | 2005-06-15 |
| Street Address |
4137 N 108TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-5459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505097 | Lisa Marie Ring | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2005-06-01 |
| 1588209571 | Julia Rose Mackendrick | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2019-11-13 |
| 1598007817 | Kristen Stanley | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2013-03-25 |
| 1639481435 | Michelle Coit | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2010-07-08 |
| 1316113905 | Paul J Cluff | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2008-05-02 |
| 1629241401 | Victoria Campbell | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2008-04-11 |
| 1336354984 | Desert Valley Pediatrics | Clinic/Center | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2007-05-14 |
| 1356469738 | Heather Mcferron | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2007-03-26 |
| 1558489088 | Colleen Finan | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2007-03-26 |
| 1376661819 | Julie Mccarthy | Nurse Practitioner | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1033642830 | Sumeet Gill | Pediatrics | 3805 E Bell Rd Ste 5100, Phoenix, AZ 85032-2174 | 2017-04-07 |
| 1639619968 | Pediatrics Kare LLC | Pediatrics | 7611 W Thomas Rd #co64, Phoenix, AZ 85033-5469 | 2017-03-06 |
| 1508300013 | Pediatrics & Family Kare Pllc | Pediatrics | 13229 N 41st Pl, Phoenix, AZ 85032-6709 | 2016-12-19 |
| 1881058931 | Nima Sekhadia | Pediatrics | 16611 S 40th St Ste 160, Phoenix, AZ 85048-0565 | 2016-04-05 |
| 1134580970 | Pleasant Pediatrics | Pediatrics | 2613 W Campbell Ave, Phoenix, AZ 85017-3770 | 2016-03-08 |
| 1174913826 | Arizona Pediatric Pllc | Pediatrics | 22 E Mitchell Dr, Phoenix, AZ 85012-2340 | 2015-02-03 |
| 1316282288 | Robert Fredrick Beauchamp | Pediatrics | 1 E Washington St, Suite 17, Phoenix, AZ 85004-2492 | 2012-12-04 |
| 1558634212 | Vishwabandhu J. Jhaveri | Pediatrics | 8220 N 23rd Ave, Building # 1, Phoenix, AZ 85021-4872 | 2012-02-10 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on JOSEPH BONANNO.
| 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.