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Deactivated NPI 1336256809 Deactivated / Inactive NPI Male Practitioner

Dr. Shawn Andrew Bonner , DO

Internal Medicine • Athens, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shawn Bonner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2006
NPI Deactivation Date April 12, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Shawn Bonner, DO was a registered Internal Medicine practicing in Athens, OH. Throughout an active medical career spanning 17 years, Dr. Bonner provided care at the practice location at 400 E STATE ST until profile deactivation on 2023-04-12.

Historical Medicare Part B clinical services included established patient outpatient office visit, testing for presence of drug, read by direct observation, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

400 E State St

Athens, OH 457011856

Telephone 7405924229
Fax 7405924010
Associated Practice Facility / Clinic
🏢 1chinomed Inc Facility NPI 1891009825

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Athens, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.6 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
18 Specialists

Practicing in Athens, OH (5516 Statewide)

Telehealth Adoption Rate
27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
144 29 $104.36 $103.15
80305 Testing for presence of drug, read by direct observation
95 22 $100.00 $12.44

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34-007216-B

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1093708661

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Steiner , DO

Neuromusculoskeletal Medicine & OMM

NPI 1104926955

Doctor of Osteopathic Medicine (D.O.)

Gaylyn Hosmer , FNP

Nurse Practitioner - Family

NPI 1275768061

Family Nurse Practitioner

Dr. David Drozek , DO

General Practice

NPI 1316031347

Doctor of Osteopathic Medicine (D.O.)

Dr. Simeon Hain , DO

Neuromusculoskeletal Medicine & OMM

NPI 1548598469

Doctor of Osteopathic Medicine (D.O.)

Amanda Pack , NP

Nurse Practitioner - Family

NPI 1609329085

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
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NPI Profile Deactivated April 12, 2023

Record deactivated on April 12, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2023

Internal Medicine (License #34007216 in OH)

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Updated Practice Location February 06, 2020

Registered at 1100 BRANDYWINE BLVD., BLDG E, ZANESVILLE, OH 43701 (Tel: 7409235050)

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Updated Business Mailing Address February 06, 2020

Registered at 1100 BRANDYWINE BLVD., BLDG E, ZANESVILLE, OH 43701 (Tel: 7409235050)

NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 25, 2012

Registered at 400 E STATE ST, ATHENS, OH 457011856 (Tel: 7405924229)

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Updated Business Mailing Address January 25, 2012

Registered at 400 E STATE ST, ATHENS, OH 457011856 (Tel: 7405924229)

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Provider Name / Credentials Updated January 25, 2012

Recorded as SHAWN BONNER, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Internal Medicine (License #34-007216-B in OH)

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Initial NPI Registration & Enumeration August 23, 2006

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: 1336256809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: January 25, 2012
Deactivation Date: April 12, 2023

Mailing Address

400 E State St

Athens, OH 457011856

Phone: 7405924229

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.