MR. PATRICK CORKREAN BONASSO NPI 1164765830

NPI Information

NPI: 1164765830
Provider Name: MR. PATRICK CORKREAN BONASSO
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
MORGANTOWN, WV
ZIP 26506
Phone: (855) 988-2273
Get Directions

MR. Patrick Corkrean Bonasso is a pediatric surgery surgery in Morgantown, WV. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. MR. Patrick Corkrean Bonasso NPI is 1164765830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 MEDICAL CENTER DR
MORGANTOWN, WV
ZIP 26506-200
Phone: (855) 988-2273

The NPI 1164765830 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 4/1/2013 and was last updated on 12/10/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	26258	WEST VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	229327700	MEDICAID	MARYLAND
2	1164765830	MEDICAID	WEST VIRGINIA

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

NPI Synchronization or Removal

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