JOHN MICHAEL BONHAM (NPI# 1811462906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811462906 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL BONHAM |
| Credential | PA-C |
| Practice Address |
2121 N Ocoee St Ste 101 Cleveland TN 37311-3953 |
| Mailing Address |
601 Brooks Mill Cir Hermitage TN 37076-4141 |
| Practice Telephone | 4234726548 |
| Practice Fax Number | 4234728318 |
| Mailing Telephone | 6153065719 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3722 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2121 N OCOEE ST STE 101 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236778 | Pawel Samplawski | Physician Assistant | 4697 W 149th St, Cleveland, OH 44135-3421 | 2019-07-10 |
| 1720647605 | Haley Martin | Physician Assistant | 2701 Jay Ave, Cleveland, OH 44113-3041 | 2019-06-13 |
| 1841857570 | Lindsey Gardiner | Physician Assistant | 1504 E 107th St, Cleveland, OH 44106-1830 | 2019-05-29 |
| 1972169142 | Morgan Adeline Tomsic | Physician Assistant | 2300 Overlook Rd Apt 720, Cleveland, OH 44106-5922 | 2019-05-14 |
| 1598239410 | Bridget Stauffer | Physician Assistant | 9500 Euclid Ave # A-60, Cleveland, OH 44195-1924 | 2019-01-14 |
| 1427532977 | Robert J Werner | Physician Assistant | 18101 Lorain Ave # 4, Cleveland, OH 44111-5612 | 2018-09-20 |
| 1285114892 | Guy David Ferguson | Physician Assistant | 400 Stuart Rd Ne Ste 1, Cleveland, TN 37312-4995 | 2018-08-14 |
| 1821592551 | Elizabeth Anne Butler | Physician Assistant | 9500 Euclid Ave Mail Code: S51, Cleveland, OH 44193-0001 | 2018-03-19 |
| 1285148817 | Marci Scovil | Physician Assistant | 9500 Euclid Ave # G60, Cleveland, OH 44195 | 2017-11-17 |
| 1689187361 | Cara Dreussi | Physician Assistant | 9105 Cedar Avenue E Building, Cleveland, OH 44195-0001 | 2017-11-16 |
| Find all providers in CLEVELAND | ||||
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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.