PAUL V. BONETZKY DO (NPI# 1770705345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770705345 |
| Entity Type | Organization |
| Organization Name | PAUL V. BONETZKY DO |
| Other Organization Name | DR. PAUL V. BONETZKY INC |
| Practice Address |
8200 State Route 366 Russells Point OH 43348-9670 |
| Practice Telephone | 9378435000 |
| Mailing Telephone | 9378435000 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. DEAN P BONETZKY (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9378435000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
========= | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 0004228178 | 01 |
| OH | STATE MEDICAL LISC. | 34001524 | 01 |
| OH | 0833889 | 05 | |
| OH | UPIN | A68388 | 01 |
| Other Name | Type Code |
|---|---|
| DR. PAUL V. BONETZKY INC | Former Legal Business Name - Organization |
| Street Address |
8200 STATE ROUTE 366 |
| City | RUSSELLS POINT |
| State | OH |
| Zip Code | 43348-9670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386847 | Jeffrey L Holycross | Pharmacist | 8200 State Route 366, Russells Point, OH 43348-9670 | 2006-02-23 |
| 1992356356 | Center for Trauma Therapy and Counseling | Social Worker | 8200 State Route 366, Russells Point, OH 43348-9670 | 2019-09-26 |
| 1962828293 | Community Health & Wellness Partners of Logan County | Clinic/Center | 8200 State Route 366, Suite No. 1, Russells Point, OH 43348-9670 | 2014-03-11 |
| 1598999385 | William Gingerich | Social Worker | 8200 State Route 366, Ste 2b, Russells Point, OH 43348-9670 | 2009-05-07 |
| 1679745673 | Lakeview Medical, Inc. | Family Medicine | 8200 State Route 366, Russells Point, OH 43348-9670 | 2008-03-31 |
| 1891807806 | Jeffrey L Holycross | Pharmacy | 8200 State Route 366, Russells Point, OH 43348-9670 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932397411 | My Urban Clinic, Inc | Clinic/Center | 8200 Sr 366, Russell Point, OH 43348 | 2007-10-09 |
| 1992911317 | James Herbert Levan | Pharmacist | 120 W. Main St, Russells Point, OH 43348 | 2007-05-15 |
| 1891108478 | Matthew Castle | Pharmacist | 120 West Main Street, Russell's Point, OH 43348 | 2014-06-11 |
| 1255685178 | Sharon Burris | Pharmacist | 120 W. Main St., Russells Point, OH 43348 | 2012-10-30 |
| 1871765404 | Teresa Marie Robinson | Pharmacist | 120 West Main Street, Russells Point, OH 43348 | 2008-03-24 |
| 1124215652 | Costin Family Practice, Inc. | Family Medicine | 303 East Main Street, Russells Point, OH 43348 | 2007-09-28 |
| 1609904887 | Gregory W. Fogt | Pharmacist | 120 W. Main St., Russells Point, OH 43348-0636 | 2007-03-01 |
| 1083889000 | Brianne Nicole Huffman | Home Health Aide | 212 Oakcrest Ct, Russells Point, OH 43348-1937 | 2008-04-30 |
| 1326465113 | Monica Klinker | Physical Therapy Assistant | 140 Burkhart Ave, Russells Point, OH 43348-9552 | 2014-03-18 |
| 1336333988 | Joanna Carey Henry | Massage Therapist | 303 East Main Street, Suite 3, Russells Point, OH 43348-9601 | 2007-08-28 |
| Find all providers in zip 43348 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326629 | Premier Physicians Centers Inc. | Clinic/Center | 18660 Bagley Rd Ste 101, Middleburg Heights, OH 44130-3483 | 2020-11-02 |
| 1114534005 | Alison Sturgis | Clinic/Center | 272 Cora Dr, Carlisle, OH 45005-3223 | 2020-09-25 |
| 1811508625 | Suhas LLC | Clinic/Center | 9110 Mentor Ave Unit 9b, Mentor, OH 44060-6404 | 2020-08-14 |
| 1215563432 | North High Family & Acute Care, LLC | Clinic/Center | 902 N High St Ste B, Hillsboro, OH 45133-8501 | 2020-03-19 |
| 1558994178 | Artemis Health Services, LLC | Clinic/Center | 3055 Cleveland Ave Ste A, Columbus, OH 43224-3602 | 2020-02-21 |
| 1801428099 | Samaritan Regional Health System | Clinic/Center | 1033 Ashland Rd Ste 173, Mansfield, OH 44905-2156 | 2020-02-06 |
| 1194365932 | Community Urgent Care Plus | Clinic/Center | 5082 Glencrossing Way, Cincinnati, OH 45238-3360 | 2020-01-09 |
| 1710522305 | Arlington Urgent Care Inc | Clinic/Center | 2216 E Main St, Bexley, OH 43209-2319 | 2019-11-07 |
| 1437794021 | Arlington Urgent Care, Inc | Clinic/Center | 2245 W Dublin Granville Rd Ste 101, Columbus, OH 43085-3336 | 2019-11-07 |
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLS POINT |
| Zip Code | 43348 |
Please comment or provide details below to improve the information on PAUL V. BONETZKY DO.
| 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.