DR. BONNIE GONG (NPI# 1447251970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447251970 |
| Entity Type | Individual |
| Full Name | DR. BONNIE GONG |
| Credential | MD |
| Practice Address |
12910 Totem Lake Blvd Ne Suite 102 Kirkland WA 98034-2954 |
| Practice Telephone | 4258994455 |
| Practice Fax Number | 4258994434 |
| Mailing Telephone | 4258994455 |
| Mailing Fax Number | 4258994434 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD00037065 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1106830 | 05 |
| Street Address |
12910 TOTEM LAKE BLVD NE SUITE 102 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629450903 | Gina Sue Yuasa | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2955 | 2015-06-23 |
| 1235566886 | Nora R. Faram | Social Worker | 12910 Totem Lake Blvd Ne, Suite 100, Kirkland, WA 98034-2951 | 2013-09-27 |
| 1790094167 | Washington Therapy Group, Inc. | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2954 | 2010-10-01 |
| 1184889305 | Dynacare Northwest Inc | Clinical Medical Laboratory | 12910 Totem Lake Blvd Ne, Kirkland, WA 98034-2954 | 2008-07-28 |
| 1376665786 | Rozanni Senanayake | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2954 | 2007-04-05 |
| 1841331006 | Hilary D Noe | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2954 | 2007-02-09 |
| 1265504393 | Michelle Aguiling Navaja | Physical Therapist | 12910 Totem Lake Blvd Ne, Suite 101, Kirkland, WA 98034-2954 | 2006-11-14 |
| 1780765362 | Christopher F Bailey | Psychiatry & Neurology | 12910 Totem Lake Blvd Ne, #101, Kirkland, WA 98034-2954 | 2006-10-18 |
| 1346339751 | Laine Marie Gawthrop | Internal Medicine | 12910 Totem Lake Blvd Ne, Suite 101, Kirkland, WA 98034-2954 | 2006-10-12 |
| 1851405591 | Kasi Graul | Physical Therapist | 12910 Totem Lake Blvd Ne, Suite 101, Kirkland, WA 98034-2954 | 2006-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487017299 | Semonti K. Hossain | Obstetrics & Gynecology | 12333 Ne 130th Ln Ste Tan 110, Kirkland, WA 98034-7467 | 2016-03-30 |
| 1831364470 | Maheen Fallah | Obstetrics & Gynecology | 12333 Ne 130th Lane Suite 110, Kirkland, WA 98034 | 2008-04-24 |
| 1861695017 | Vivienne Louise Souter | Obstetrics & Gynecology | Evergreen Surgery and Physician's Center Tan 240, 12040 Ne 128th St, Kirkland, WA 98034 | 2007-06-06 |
| 1952481889 | Mary Beth Wittman | Obstetrics & Gynecology | 12303 Ne 130th Ln Ste 450, Kirkland, WA 98034-3032 | 2006-10-16 |
| 1619068228 | Luanne E. Schocket | Obstetrics & Gynecology | 12333 Ne Lane, Suite 110, Kirkland, WA 98034-4168 | 2006-09-27 |
| 1225027428 | Suman L. Tewari | Obstetrics & Gynecology | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2005-10-19 |
| 1427047943 | Anita S. Ninan | Obstetrics & Gynecology | 12303 Ne 130th Ln Ste 420, Kirkland, WA 98034-3042 | 2005-10-18 |
| 1265436687 | Shannon Lee Bailey | Obstetrics & Gynecology | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3099 | 2005-06-13 |
| 1538554506 | Nicolette Wolters | Obstetrics & Gynecology | 12910 Totem Lake Blvd Ne Ste 102, Kirkland, WA 98034-2901 | 2015-04-06 |
| 1427326263 | Zainab Alnoor | Obstetrics & Gynecology | 12333 Ne 130th Ln, Tan 110, Kirkland, WA 98034-7467 | 2011-12-08 |
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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.