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DR. MARISSA ELIZABETH BONYUN MD MED FRCSC NPI 1790338341


NPI Information

NPI: 1790338341
Provider Name: DR. MARISSA ELIZABETH BONYUN, MD, MED, FRCSC
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

PECOS Registration: Yes

Address:
22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-6280
Get Directions

DR. Marissa Elizabeth Bonyun, MD, MED, FRCSC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Baltimore, MD with 11 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Marissa Elizabeth Bonyun, MD, MED, FRCSC NPI is 1790338341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TORONTO, FACULTY OF MEDICINE
Graduation Year:2013

The provider's business location address is:

22 S GREENE ST
BALTIMORE, MD
ZIP 21201-544
Phone: (410) 328-6280

The NPI 1790338341 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2019 and was last updated on 8/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery35.139373OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104120OTHERCPSO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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