Gregory J Bonavita Cardiac Electrophysiology
2600 6th St Sw, Canton, OH 44710-1702


Gregory J Bonavita is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1306825336. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4183511066. The primary specialty is CARDIAC ELECTROPHYSIOLOGY. The organization is OHIO PHYSICIAN PROFESSIONAL CORPORATION. The address is 2600 6th St Sw, Canton, OH 44710-1702. The zip code is 44710.


Gregory J Bonavita · 2600 6th St Sw, Canton, OH 44710-1702

Nation Provider ID 1306825336
PAC ID by PECOS 4183511066
Professional Enrollment ID I20090203000257
Last Name BONAVITA
First Name GREGORY
Middle Name J
Gender M
Medical School Name UMDNJ-NEW JERSEY MEDICAL SCHOOL
Graduation Year 1986
Primary Specialty CARDIAC ELECTROPHYSIOLOGY
Secondary Specialties INTERNAL MEDICINE
Primary Specialty OHIO PHYSICIAN PROFESSIONAL CORPORATION
Phone Number 3304548076
Group Practice PAC ID 2668406059
Number of Group Practice Members 146
Address 2600 6TH ST SW
CANTON, OH 447101702
Claims Based Hospital Affiliation Claim Control Number (CCN): 360084
Legal Business Name: AULTMAN HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 360070
Legal Business Name: MERCY MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 360010
Legal Business Name: UNION HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

street_number: 2600
route: 6th Street Southwest (6th St SW)
locality, political: Canton
admin_level_2, political: Stark County
admin_level_1, political: Ohio (OH)
country, political: United States (US)
postal_code: 44710
postal_code_suffix: 1702
types : street_address
latitude: 40.7959671
longitude: -81.4035536
latlng: (40.7959671, -81.4035536)


Ohio Physician Professional Corporation · Medicare Physician

Name Address Specialty
Robert Brophy 2600 6th St Sw, Canton, OH 44710-1702 FAMILY PRACTICE
Karen Marzlin 2600 6th St Sw, Canton, OH 44710-1702 CLINICAL NURSE SPECIALIST
John Paulowski 2600 6th St Sw, Canton, OH 44710-1702 INTERVENTIONAL CARDIOLOGY
Devang Butani 2600 6th St Sw, Canton, OH 44710-1702 INTERNAL MEDICINE
Benjie Chong 2600 6th St Sw, Canton, OH 44710-1702 HOSPITALIST
Muhannad Samaan 2600 6th St Sw, Canton, OH 44710-1702 HOSPITALIST
John Prodafikas 2600 6th Swst, Canton, OH 44710-1702 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Rajitha Dasari 2600 6th St Sw, Canton, OH 44710-1702 HOSPITALIST
Michele Daoud 2600 6th Swst, Canton, OH 44710-1702 NURSE PRACTITIONER
Ifijen Oleghe 2600 6th St Sw, Canton, OH 44710-1702 HOSPITALIST
Charles Smith 2600 6th St Sw, Canton, OH 44710-1702 ENDOCRINOLOGY
Allison Oprandi 2600 6th St Sw, Canton, OH 44710-1702 FAMILY PRACTICE
Muhammad Sardar 2600 6th St Sw, Canton, OH 44710-1702 INTERVENTIONAL CARDIOLOGY
Terrence Tegtmeier 2600 6th St Sw, Canton, OH 44710-1702 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Jennifer Hostetler 2600 6th St Sw, Canton, OH 44710-1702 NURSE PRACTITIONER
Amy Hughes 2600 6th Swst, Canton, OH 44710-1702 NURSE PRACTITIONER
Janice Spalding 2600 6th St Sw, Canton, OH 44710-1702 FAMILY PRACTICE
Kavitha Nidamanuri 2600 6th St Sw, Canton, OH 44710-1702 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Mandal Haas 2600 6th St Sw, Canton, OH 44710-1702 FAMILY PRACTICE
Carmen Soto 2600 6th St Sw, Canton, OH 44710-1702 FAMILY PRACTICE

Zip 44710 · Cardiac Electrophysiology · Medicare Physician

Name Address Specialty
Srinivasa Satti 2600 6th Swst, Canton, OH 44710-1702 CARDIAC ELECTROPHYSIOLOGY

Zip 44710 · Medicare Physician

Name Address Specialty
John Prodafikas 2600 6th Swst, Canton, OH 44710-1702 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Eid Alhatem 2600 6th St Sw, Canton, OH 44710-1702 HOSPITALIST
Sheree Boyle 2600 6th St Sw, Canton, OH 44710-1702 CERTIFIED REGISTERED NURSE ANESTHETIST
Thomas Kinney 2600 6th St Sw, Canton, OH 44710-1702 EMERGENCY MEDICINE
Susan Hornyak 2600 6th St Sw, Canton, OH 44710-1702 NURSE PRACTITIONER
Carmen Soto 2600 6th St Sw, Canton, OH 44710-1702 FAMILY PRACTICE
Paul Hrics 2600 6th St Sw, Canton, OH 44710-1702 EMERGENCY MEDICINE
Charles Hearn 2600 6th St Sw, Canton, OH 44710-1702 ANESTHESIOLOGY
Matthew Licause 2600 6th St Sw, Canton, OH 44710-1702 FAMILY PRACTICE
John Tenney 2600 6th St Sw, Canton, OH 44710-1702 NURSE PRACTITIONER
Anthony Clark 2600 6th St Sw, Canton, OH 44710-1702 CERTIFIED REGISTERED NURSE ANESTHETIST
Sourabh Prabhakar 2600 6th St Sw, Canton, OH 44710-1702 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Patricia Sinar 2600 6th St Sw, Canton, OH 44710-1702 CERTIFIED REGISTERED NURSE ANESTHETIST
Carl Schleich 2600 6th St Sw, Canton, OH 44710-1702 OBSTETRICS/GYNECOLOGY
Andrew Stalker 2600 6th Swst, Canton, OH 44710-1702 NEUROLOGY
Michael Hopkins 2600 6th Swst, Canton, OH 44710-1702 GYNECOLOGICAL ONCOLOGY
Jesse Gurm 2600 6th St Sw, Canton, OH 44710-1702 EMERGENCY MEDICINE
Michele Blaho 2600 6th St Sw, Canton, OH 44710-1702 CERTIFIED REGISTERED NURSE ANESTHETIST
Danielle Kiko 2600 6th St Sw, Canton, OH 44710-1702 OBSTETRICS/GYNECOLOGY
Janice Just 2600 6th St Sw, Canton, OH 44710-1702 CERTIFIED REGISTERED NURSE ANESTHETIST