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Active NPI 1437505963 Individual Practitioner Male Practitioner

Dr. Dayne Kawika Bonzo , DO

Pediatrics • Eielson Afb, AK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dayne Bonzo, DO is a certified Pediatrics practicing in Eielson Afb, AK. With approximately 14 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2012, Dr. Bonzo delivers high-quality medical care to the local community at 2630 CENTRAL AVE # 3349.

Dr. Bonzo is affiliated with Peacehealth and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2630 Central Ave # 3349

Eielson Afb, AK 997022301

Telephone 9073776455

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Eielson Afb, AK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs Matches City Avg
City Avg: 14.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Eielson Afb, AK (168 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bonzo (14 Years) 14 Yrs
Eielson Afb Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-08-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 34.013112

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

General Practice

NUCC Taxonomy Code: 208D00000X

State License OH 34.013112

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Peacehealth

3100 Tongass Ave, Ketchikan, AK 999015746

Phone: 9072288300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1134714629

Doctor of Osteopathic Medicine (D.O.)

Amy Vagedes

Pediatrics

NPI 1699193318

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 11, 2020

Registered at 2630 CENTRAL AVE # 3349, EIELSON AFB, AK 997022301 (Tel: 9073776455)

📍
Updated Business Mailing Address September 11, 2020

Registered at 2360 CENTRAL AVE #3349, ATTN DR. DAYNE BONZO, EIELSON AFB, AK 99702 (Tel: 9073776455)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2020

General Practice (License #34.013112 in OH)

NPI Profile Active May 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2016

Registered at 9500 EUCLID AVE, CLEVELAND, OH 44195 (Tel: 2164442200)

📍
Updated Business Mailing Address May 13, 2016

Registered at 9500 EUCLID AVE, CLEVELAND, OH 44195 (Tel: 2164442200)

👤
Provider Name / Credentials Updated May 13, 2016

Recorded as DAYNE BONZO, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437505963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2016
Last Update: August 25, 2022
Sole Proprietor: Yes

Mailing Address

2360 Central Ave #3349, Attn Dr. Dayne Bonzo

Eielson Afb, AK 99702

Phone: 9073776455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.