ANDREW MICHAEL BOHUNICKY (NPI# 1821633629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821633629 |
| Entity Type | Individual |
| Full Name | ANDREW MICHAEL BOHUNICKY |
| Credential | PA |
| Practice Address |
2076 Nc Highway 42 W Ste 230 Clayton NC 27520-5303 |
| Mailing Address |
3710 Exchange Glenwood Pl Apt 414 Raleigh NC 27612-4860 |
| Practice Telephone | 9195535711 |
| Mailing Telephone | 6074259251 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
0010-09487 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2076 NC HIGHWAY 42 W STE 230 |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801294665 | Family Wellness Clinic | Clinical Medical Laboratory | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2014-12-10 |
| 1972134674 | Christine Klema Palmer | Nurse Practitioner | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2020-01-31 |
| 1104382639 | Jessica Shields | Nurse Practitioner | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2019-02-20 |
| 1952799892 | Family Wellness Clinic | Clinic/Center | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2014-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771795 | Michelle Muhammad | Family Medicine | 1589 Skeet Club Rd Ste 102-218, High Point, NC 27265-8817 | 2020-08-19 |
| 1578171724 | Immuno Professionals Pllc | Family Medicine | 9300 Harris Corners Pkwy Ste 160, Charlotte, NC 28269-3791 | 2020-07-14 |
| 1225549991 | Tawfiq Ansari | Family Medicine | 5 Scarlet Oak Ct, Durham, NC 27712-8971 | 2017-10-20 |
| 1215457924 | J Arthur Dosher Memorial Hospital | Family Medicine | 906 N Howe Street, Southport, NC 28461-2846 | 2017-06-23 |
| 1215342779 | Alexandria Kadolph | Family Medicine | Moses Cone Hospital, 1121 N Church St, Greensboro, NC 27405 | 2014-06-24 |
| 1669715868 | David A Crowe | Family Medicine | West Wilkes Family Medicine, 171 West Wilkes Medical Center Blvd., Ferguson, NC 28624-8925 | 2013-04-05 |
| 1417261736 | Talton Physician Services Pllc | Family Medicine | 201 Crest Dr, Mount Olive, NC 28365-2619 | 2010-07-28 |
| 1366686271 | Arturo De Jesus De Leon | Family Medicine | 2903 Adrian Ct, Raleigh, NC 27604-5811 | 2009-04-22 |
| 1922132620 | Larry S Kilby Md Pa | Family Medicine | 1208 E St, N Wilkesboro, NC 28659-4018 | 2007-03-15 |
| 1720120470 | Carole Maxwell Stuart | Family Medicine | Lower Level Reynolds Gym-wingate Rd., Wingate Rd., Winston-salem, NC 27109 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANDREW MICHAEL BOHUNICKY.
| 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.