Organization Active NPI

J.a. Bowe, M.D., P.C.

Doing business as Green Hills Medical Clinic

  • Family Medicine Physician
  • Trenton, MO
National Provider Identifier
1083650402
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
J.A. BOWE, M.D., P.C.
Doing business as
Green Hills Medical Clinic
Practice address
3300 E 10TH St
Trenton, MO 64683-9579
Phone
(660) 359-3939
Fax
(660) 359-4372
NPI assigned
Jun 22, 2006
Last updated
Aug 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer A. Bowe, M.D.NPI 1245274422
Title
President
Phone
(660) 359-3939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Rural Health Clinic/Center 261QR1300X 2002014049 MO

Addresses

Primary practice location

3300 E 10TH St
Trenton, MO 64683-9579

Mailing address

3300 E 10TH St
Trenton, MO 64683-9579
Phone (660) 359-3939

Other names 1

  • Green Hills Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3300 E 10th St
Trenton, MO 64683
Phone (660) 359-3938

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1083650402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E 10TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646839579",
            "telephone_number": "660-359-3939",
            "fax_number": "660-359-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 10TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646839579",
            "telephone_number": "660-359-3939",
            "fax_number": "660-359-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A. BOWE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "BOWE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-359-3939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "2002014049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Hills Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.