Provider Demographics
NPI:1619070885
Name:BOND, JESS GEOFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:JESS
Middle Name:GEOFFREY
Last Name:BOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3774 BRANT DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-3656
Mailing Address - Country:US
Mailing Address - Phone:330-645-1953
Mailing Address - Fax:330-645-1650
Practice Address - Street 1:3774 BRANT DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-3656
Practice Address - Country:US
Practice Address - Phone:330-645-1953
Practice Address - Fax:330-645-1650
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH050955207R00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHC82269Medicare UPIN
OHBO0661671Medicare ID - Type Unspecified