Patrick Bowen, DO
Individual provider Active NPI Pediatrics Physician · Wichita, KS
NPI 1003137589 · NPPES record last updated Jun 18, 2010
Key facts
- NPI
- 1003137589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 7468 (KS)
- Practice address
- 1010 N. Kansas
Wcgme
Wichita, KS 67214 - Phone
- (316) 962-3030
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120820000181 | KS | Order and Referring Only - Pediatric Medicine |
0244486603 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7468 | KS | MD | Pediatrics Physician |
Interoperability endpoints
- patrick.bowen@khindirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 7468 | KS | Yes |
Addresses
Primary practice location
1010 N. Kansas
Wcgme
Wichita, KS 67214
Mailing address
1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 962-3030
Other providers in Wichita, KS
- Jessica Anne Boulware
- Casandra Lynn Bourn
- Linda Jean Bourn
- Alice Boutz
- Susan Elizabeth Bouwmeester
- Ben Bowers
- Caleb Jesse Bowers
- Cortney Bowhay
- Mikayla Bowie
- Mark H Bowles
All providers in Wichita, KS · Pediatrics Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.