MICHAEL P BONGIORNO (NPI# 1437475753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437475753 |
| Entity Type | Individual |
| Full Name | MICHAEL P BONGIORNO |
| Other Name | MICHAEL BEATTY |
| Credential | NP |
| Practice Address |
683 Oriole Dr Eastlake OH 44095-1609 |
| Mailing Address |
1852 Atwood Rd Toledo OH 43615-3839 |
| Practice Telephone | 4404876475 |
| Mailing Telephone | 4404876475 |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | PN.135636-M-IV | OH | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0027525 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
683 ORIOLE DR |
| City | EASTLAKE |
| State | OH |
| Zip Code | 44095-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939567 | Betsy Rivera | Counselor | 39500 Euclid Ave Willougbhy Ohio 44095, 35900 Euclid Ave Willoughby Ohio 44095, Willoughby, OH 44095 | 2019-02-27 |
| 1114409554 | Beverly Ann Croyle | Nursing Care | 145 Christine Ct., Eastlake, OH 44095 | 2018-09-01 |
| 1487105540 | Emily Stupica | Psychologist | 34050 Glen Drive, Eastlake, OH 44095 | 2016-10-24 |
| 1346542255 | Rita Alvina Mitchell | Licensed Practical Nurse | 497 E305th, Willowick, OH 44095 | 2010-11-29 |
| 1669784021 | Alyssa M Kowalski | Dentist | 250 E. 312th St., Willowick, OH 44095 | 2010-07-13 |
| 1033374160 | Ruth Anne Rotkovecz | Licensed Practical Nurse | 33201 Vine St Apt., 126b, Eastlake, OH 44095 | 2008-07-29 |
| 1497926877 | Catherine Look | Registered Nurse | 278 St Lawrence Boulevard, Eastlake, OH 44095 | 2008-03-13 |
| 1457563363 | Sherry A Carlson | Home Health Aide | 779 E 305 St, Willowick, OH 44095 | 2007-05-04 |
| 1265659346 | Erica Michelle Wazney | Dentist | 32001 Vine Street, Willowick, OH 44095 | 2007-04-19 |
| 1609952464 | Donald Charles Thaler | Dentist | 34586 Lakeshore Blvd., Eastlake, OH 44095 | 2006-10-27 |
| Find all providers in zip 44095 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
| 1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
| 1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
| 1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
| 1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
| 1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
| 1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.