1164429718 NPI number — DR. CHRISTIAN L. BONASSO M.D.

Table of content: DR. CHRISTIAN L. BONASSO M.D. (NPI 1164429718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164429718 NPI number — DR. CHRISTIAN L. BONASSO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BONASSO
Provider First Name:
CHRISTIAN
Provider Middle Name:
L.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164429718
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3525 OLENTANGY RIVER RD
Provider Second Line Business Mailing Address:
SUITE 5310
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43214-3937
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-263-7002
Provider Business Mailing Address Fax Number:
614-267-6683

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3525 OLENTANGY RIVER RD
Provider Second Line Business Practice Location Address:
SUITE 5310
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43214-3937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-263-7002
Provider Business Practice Location Address Fax Number:
614-267-6683
Provider Enumeration Date:
06/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X , with the licence number:  35.072145 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 600286 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 000000195076 . This is a "ANTHEM PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 7624851003 . This is a "CIGNA PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 310874776035 . This is a "CARESOURCE PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 7895215 . This is a "AETNA PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 310874776007 . This is a "TRICARE PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2109435 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 64068844 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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