DR. MARK DOUGLAS BONNELL (NPI# 1801872338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801872338 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS BONNELL |
| Credential | M.D. |
| Practice Address |
Santa Clara Health Center Rr 5 Box 446 Espanola NM 87532-8908 |
| Mailing Address |
Rr 5 Box 446 Santa Clara Pueblo Health Center Espanola NM 87532-8908 |
| Practice Telephone | 5057535039 |
| Mailing Telephone | 5057539421 |
| Mailing Fax Number | 5057535039 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
85-163 | NM | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 85-163 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215123450 | Mark R. Bonnell | Surgery | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 2007-09-21 |
| Street Address |
SANTA CLARA HEALTH CENTER RR 5 BOX 446 |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-8908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932562360 | Gray Pearls LLC | Family Medicine | 2506 Tramway Terrace Ct Ne, Albuquerque, NM 87122-2317 | 2016-04-02 |
| 1093954448 | Housecalls Unlimited LLC | Family Medicine | 1320 Tanglewood Pl Nw, Albuquerque, NM 87120-6548 | 2009-02-09 |
| 1437258951 | Gerard Edward Muraida | Family Medicine | 5639 Jefferson St Ne, Albuquerque, NM 87109-3412 | 2006-09-21 |
| 1144232679 | William F Orr Jr. | Family Medicine | 8220 San Pedro Dr Ne Ste 300, Albuquerque, NM 87113-2476 | 2006-08-13 |
| 1659388619 | Suzanne Pinon | Family Medicine | 8400 Menaul Blvd Ne, Suite A-141, Albuquerque, NM 87112-2260 | 2006-08-02 |
| 1780605923 | David Bennahum | Family Medicine | Westside Family / Senior Health Center, 4808 Mc Mahon Blvd., Albuquerque, NM 87114 | 2006-07-22 |
| 1750377412 | Percy M Pentecost | Family Medicine | 3016 Mackland Ave Ne, Albuquerque, NM 87106-2018 | 2005-09-27 |
| 1376536110 | Elizabeth Ann Morgan | Family Medicine | 45a Los Ranchitos Rd, Sandia Park, NM 87047-9619 | 2005-08-26 |
| 1689671174 | Joseph Mario Lovato | Family Medicine | 4425 Rio Trumperos Court Ne, Albuquerque, NM 87120-5333 | 2005-06-30 |
| 1538667068 | Lauren Harris | Family Medicine | 8100 Wyoming Blvd Ne Ste M4, Albuquerque, NM 87113 | 2018-01-30 |
| 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.