GREGORY J. BONAVITA (NPI# 1306825336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306825336 |
Entity Type | Individual |
Full Name | GREGORY J. BONAVITA |
Credential | M.D. |
Practice Address |
2600 6th St Sw Suite A2-710 Canton OH 44710-1702 |
Practice Telephone | 4404548076 |
Practice Fax Number | 3304543927 |
Mailing Telephone | 4404548076 |
Mailing Fax Number | 3304543927 |
Enumeration Date | 2006-01-10 |
Last Update Date | 2008-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
35-06-7797 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0128883 | 05 |
Street Address |
2600 6TH ST SW SUITE A2-710 |
City | CANTON |
State | OH |
Zip Code | 44710-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700885142 | Michael W Soehnlen | Radiology | 2600 6th St Sw, Radiology Associates of Canton, Inc., Canton, OH 44710-1702 | 2005-07-19 |
1881295475 | Gina Marie Shaffo | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
1427659051 | Heidi Lynn Martinez | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
1215537907 | Travis Paul Gray | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
1780284430 | Kelly Marie Mason | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
1003414624 | Annie Shelton | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
1982202511 | Sean D Myer | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
1366049215 | Molly Rose Kathleen Davis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-05 |
1578177192 | Vyshnavi Iswaravaka | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-09-01 |
1124638705 | Varun Victor | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-08-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
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Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
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 |
---|---|---|---|---|
1780623645 | Firas M.a. Hamdan | Internal Medicine | 4466 Fulton Dr Nw, Canton, OH 44718-2864 | 2006-06-06 |
1427333293 | Wellstar Cardiovascular Medicine, LLC | Internal Medicine | 720 Transit Ave, Suite 102, Canton, GA 30114-2540 | 2011-10-12 |
1265411243 | Srinivasa Dinakar Satti | Internal Medicine | 2600 6th St Sw, Suite A2-710, Canton, OH 44710-1702 | 2006-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033727292 | Dayton Cardiology Consultants, LLC | Internal Medicine | 6635 Centerville Business Pkwy, Centerville, OH 45459-2655 | 2020-07-14 |
1285918706 | The Dayton Heart Center, Inc. | Internal Medicine | 742 Sweitzer St, Greenville, OH 45331-1099 | 2011-10-03 |
1275817793 | The Dayton Heart Center, Inc. | Internal Medicine | 6623 Centerville Business Pkwy, Centerville, OH 45459-2655 | 2011-10-03 |
1720378243 | Ismail Hamam | Internal Medicine | 473 West 12th Ave, Dhlri 200, Columbus, OH 43210 | 2011-04-18 |
1073769709 | Dina Marie Sparano | Internal Medicine | 6801 Mayfield Rd Ste 300, Mayfield Heights, OH 44124 | 2008-08-13 |
1518137017 | Bryan Baranowski | Internal Medicine | Cleveland Clinic F15 Mailing Desk, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2008-03-11 |
1821287509 | Shervin Sadrpour | Internal Medicine | 4760 E. Galbraith Road, Suite 205, Cincinnati, OH 45236-6704 | 2007-10-18 |
1366504599 | Ottorino Costantini | Internal Medicine | 2500 N Metrohealth Drive, Cleveland, OH 44109 | 2006-12-14 |
1669458733 | Fort Wayne Cardiology Corporation | Internal Medicine | 11558 Sr 111, Paulding, OH 45879 | 2005-12-20 |
1487653945 | Mark E Krebs | Internal Medicine | 5538 Philadelphia Dr, Suite B, Dayton, OH 45415-3061 | 2005-07-18 |
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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.