B S Bonyo Do Associates Inc | |
1569 V Odom Blvd Akron OH 44320 | |
(330) 867-7544 | |
(330) 867-7434 |
Full Name | B S Bonyo Do Associates Inc |
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Speciality | Family Medicine |
Location | 1569 V Odom Blvd, Akron, Ohio |
Authorized Official Name and Position | Benson S Bonyo (PHYSICIAN) |
Authorized Official Contact | 3308677544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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B S Bonyo Do Associates Inc 1569 V Odom Blvd Akron OH 44320 Ph: (330) 867-7544 | B S Bonyo Do Associates Inc 1569 V Odom Blvd Akron OH 44320 Ph: (330) 867-7544 |
NPI Number | 1154543213 |
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Provider Enumeration Date | 05/02/2007 |
Last Update Date | 04/09/2024 |
Medicare PECOS PAC ID | 3870498744 |
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Medicare Enrollment ID | O20031204000055 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154543213 | NPI | - | NPPES |
2314221 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34007305B (Ohio) | Primary |
Provider Name | Benson Sylvance Bonyo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386725125 PECOS PAC ID: 0749176774 Enrollment ID: I20040226000658 |
Provider Name | Fiona B Ju |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649372731 PECOS PAC ID: 9739184821 Enrollment ID: I20060925000010 |
Provider Name | Sherita Cody |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528534260 PECOS PAC ID: 4587904370 Enrollment ID: I20190313002485 |
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