Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor Bonanno

Individual provider Physician Assistant · NPI 1760225874

Taylor Bonanno is a Physician Assistant in Winchester, Virginia. Qualified in 2024, 2 years ago. Practices with East Mountain Health Physicians Inc, a 91-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Virginia and West Virginia.

Years since qualifying
2
Licensed in
VA, WV
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

217 Grocery Ave
Winchester, VA 22602
Phone: (540) 536-7700
Fax: (540) 536-7701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 519 W Jubal Early Dr Ste 301, Winchester, VA 22601-6519 — (540) 536-5500
  • 160 Merchant St Ste 100, Winchester, VA 22603-4772 — (540) 536-5560
  • 3790 Hedgesville Rd Ste H, Hedgesville, WV 25427-6704 — (304) 754-7160

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010820 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 3004 (WV)

Record details

NPI number1760225874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJuly 9, 2025
Certification dateJune 25, 2025
Mailing address220 Campus Blvd Ste 320, Winchester, VA 22601-2889

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice East Mountain Health Physicians Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Winchester