JENNIFER MADELINE LEE BONI (NPI# 1558570911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558570911 |
| Entity Type | Individual |
| Full Name | JENNIFER MADELINE LEE BONI |
| Other Name | JENNIFER MADELINE LEE-PENTZ |
| Credential | M.D. |
| Practice Address |
101 Willmar Avenue Sw Affiliated Community Medical Centers Willmar MN 56201 |
| Practice Telephone | 3202315000 |
| Practice Fax Number | 3202315067 |
| Mailing Telephone | 3202315000 |
| Mailing Fax Number | 3202315067 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 50047 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
101 WILLMAR AVENUE SW AFFILIATED COMMUNITY MEDICAL CENTERS |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422176 | William E. Hicks | Family Medicine | 101 Willmar Avenue Sw, Willmar, MN 56201-3591 | 2005-08-01 |
| 1619142742 | Michael Anthony May | Internal Medicine | 101 Willmar Avenue Sw, Affiliated Community Medical Centers, Willmar, MN 56201 | 2008-04-29 |
| 1811173271 | Lucio R. Minces | Internal Medicine | 101 Willmar Avenue Sw, Willmar, MN 56201-3591 | 2008-01-16 |
| 1356532535 | John P Skretvedt | Family Medicine | 101 Willmar Avenue Sw, Affiliated Community Medical Centers, Willmar, MN 56201 | 2007-08-05 |
| 1881892446 | Emily C. Mcdevitt | General Practice | 101 Willmar Avenue Sw, Willmar, MN 56201-3591 | 2007-07-05 |
| 1104855618 | Jonathan C Haas | Orthopaedic Surgery | 101 Willmar Avenue Sw, Affiliated Community Medical Centers, Willmar, MN 56201 | 2006-06-30 |
| 1720089956 | Bruce W Keppen | Anesthesiology | 101 Willmar Avenue Sw, Affiliated Community Medical Centers, Willmar, MN 56201-3591 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| 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 |
|---|---|---|---|---|
| 1033185566 | Glenn C Buchanan | Obstetrics & Gynecology | 101 Willmar Ave Sw, Willmar, MN 56201 | 2006-02-24 |
| 1700852449 | Stan A Antkowiak | Obstetrics & Gynecology | 101 Willmar Ave Sw, Willmar, MN 56201 | 2006-02-23 |
| 1376519025 | Kathryn M Duevel | Obstetrics & Gynecology | 101 Willmar Ave Sw, Willmar, MN 56201 | 2006-02-23 |
| 1023084753 | Lachlan C Smith | Obstetrics & Gynecology | 101 Willmar Ave Sw, Willmar, MN 56201 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581218 | Catherine Pamela Edwards | Obstetrics & Gynecology | 7048 Highover Ct S, Chanhassen, MN 55317-7569 | 2019-11-04 |
| 1407329139 | Arthur Joseph Horowitz | Obstetrics & Gynecology | 830 Edgemoor Dr, Hopkins, MN 55305-4852 | 2019-01-04 |
| 1710437967 | David Olson | Obstetrics & Gynecology | 8201 Creekside Cir, Bloomington, MN 55437-3836 | 2016-10-12 |
| 1326492182 | Leah Christine Henke | Obstetrics & Gynecology | 688 Holly Ave Apt 5, Saint Paul, MN 55104-7557 | 2016-04-19 |
| 1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
| 1285052027 | Paige Persch | Obstetrics & Gynecology | 6565 France Ave S Ste 300, Edina, MN 55435-2154 | 2014-03-30 |
| 1386065100 | Jennifer Arnhold Md Plc | Obstetrics & Gynecology | 13359 Isle Dr. Suite 2, Baxter, MN 56425-2222 | 2013-12-20 |
| 1598008716 | Sarah Marie Krueger | Obstetrics & Gynecology | 606 24th Ave S Ste 700, Minneapolis, MN 55454-1462 | 2013-04-05 |
| 1922341791 | Matthew Thomas Bigos | Obstetrics & Gynecology | 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 | 2013-03-31 |
| 1205191335 | William F Dickes | Obstetrics & Gynecology | 14708 57th St S, Afton, MN 55001-9686 | 2012-07-04 |
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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.