ROGER A BONAU (NPI# 1588662225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588662225 |
| Entity Type | Individual |
| Full Name | ROGER A BONAU |
| Credential | M.D. |
| Practice Address |
4535 Harding Pike Ste 304 Nashville TN 37205-2120 |
| Mailing Address |
53 Century Blvd Suite 120 Nashville TN 37214-3693 |
| Practice Telephone | 6152699007 |
| Practice Fax Number | 6152693448 |
| Mailing Telephone | 6152925722 |
| Mailing Fax Number | 6153466225 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD19695 | TN | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD19695 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
4535 HARDING PIKE STE 304 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37205-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146042 | John E Keyser IIi | Surgery | 4535 Harding Pike Ste 304, Nashville, TN 37205-2120 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1396307260 | Tyler G Smith | Dentist | 104 Kenner Ave., Suite #101, Nashville, TN 37205 | 2019-07-01 |
| 1487129508 | The Counseling Center At Belle Meade United Methodist Church, LLC | Counselor | Counseling Center At Belle Meade Umc, 121 Davidson Road, Nashville, TN 37205 | 2018-10-04 |
| 1932592953 | Generations Behavioral Health LLC | Psychiatric Hospital | 4423 Forsythe Place, Nashville, TN 37205 | 2015-03-16 |
| 1114323284 | Caroline Rhett Hartman | Counselor | 85 White Bridge Road, Ste 302, Nashville, TN 37205 | 2014-11-17 |
| 1619316387 | Sarah Jane Grayce | Psychiatry & Neurology | 85 White Bridge Rd Ste 302, Nashville, TN 37205 | 2013-06-17 |
| 1902142920 | Smita K Rao | Genetic Counselor, MS | 4220 Harding Pike Ste 200, Nashville, TN 37205 | 2012-12-19 |
| 1225386154 | Jessica Blain Trumble | Registered Nurse | 204 Carden Ave, Nashville, TN 37205 | 2012-08-27 |
| 1962778167 | Bryan Richard Hay | Internal Medicine | 4320 Harding Pike Ste 503, Nashville, TN 37205 | 2012-04-02 |
| 1184998064 | Christopher Snider | Specialist/Technologist, Other | 738 Templeton Dr, Nashville, TN 37205 | 2012-02-24 |
| Find all providers in zip 37205 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326022039 | Jeffery Bartholomeau Dattilo | Surgery | 4230 Harding Pike Ste 525, Nashville, TN 37205-2075 | 2005-12-06 |
| 1245238971 | Terry R. Allen | Surgery | 2000 Hayes St, 1505, Nashville, TN 37203-1514 | 2005-07-07 |
| 1992196463 | Christine Jeanette (j.) Deyholos | Surgery | 1161 21st Ave S, D-5237 Medical Center North, Nashville, TN 37232-0011 | 2015-02-05 |
| 1548600877 | Mark A Benak Md Nashville PC | Surgery | 2222 State St, Suite 200 B 1, Nashville, TN 37203-1845 | 2013-07-01 |
| 1184062093 | Msa Alliance, LLC | Surgery | 1245 S Mill St, Nashville, IL 62263-2004 | 2013-06-13 |
| 1104269091 | Msa Alliance, LLC | Surgery | 1245 S Mill St, Nashville, IL 62263-2004 | 2013-04-10 |
| 1770851552 | Tristar Cardiovascular Surgery LLC | Surgery | 2400 Patterson St, Ste. 307, Nashville, TN 37203-1562 | 2011-12-07 |
| 1003077728 | Clayton Allen Kaiser | Surgery | 4230 Harding Pike Ste 530, Nashville, TN 37205-2094 | 2008-06-24 |
| 1902003775 | Mark W. Shelton M.d. Pllc | Surgery | 397 Wallace Rd, Ste 414, Nashville, TN 37211-4854 | 2007-06-27 |
| 1568666055 | Chandler Long | Surgery | 2601 Tvc, Nashville, TN 37232-0001 | 2007-06-11 |
| Find all providers in NASHVILLE | ||||
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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.