Active NPI
Courtney E Sowers, PA-C
- Medical Physician Assistant
- Philadelphia, PA
National Provider Identifier
1083895601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA054165
- Practice address
- 700 Spruce Street
Pine Basement West
Philadelphia, PA 19107-6130 - Phone
- (215) 829-3264
- NPI assigned
- Nov 26, 2007
- Last updated
- Mar 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00189400 | NJ | |
| Medical Physician Assistant | 363AM0700X | MA054165 | PA | Primary |
Addresses
Primary practice location
700 Spruce Street
Pine Basement West
Philadelphia, PA 19107-6130
Mailing address
3624 Market Street
Suite 560W
Philadelphia, PA 19104-2617
Phone (215) 662-3958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00189400 | NJ | MD | Physician Assistant |
| MA054165 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eps Billing, LLC | Physician Assistant | Past | Accepting new patients |
| Emergency Physician Services LLC | Past | Accepting new patients | |
| Atlantic Professional Services of New Jersey, P.a. | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physician Assistant
- Stratford, NJ
- NPI 1932145182
-
- Emergency Medicine Physician
- Woodbury, NJ
- NPI 1588699581
-
- Physician Assistant
- Woodbury, NJ
- NPI 1568497543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1083895601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 MARKET STREET",
"address_2": "SUITE 560W",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042617",
"telephone_number": "215-662-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SPRUCE STREET",
"address_2": "PINE BASEMENT WEST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-829-3264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWERS",
"first_name": "COURTNEY",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00189400",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA054165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.