Kim D Bowen, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35059725B Issued in OH

Practice address

1000 E Washington
Medina General Hospital Ed
Medina, OH 44256

Phone

(330) 654-1185

Fax

(330) 654-9086

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kim.bowen.1@17870.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medina Hospital

  • General Acute Care Hospital
  • Medina, OH
  • NPI 1083696710
  Medicare reassignment NPD
• Medina Emergency Associates LTD

  • Emergency Medicine Physician
  • Medina, OH
  • NPI 1174525620
  NPD (past) Authorized official
• Medina Hospital

  • Emergency Medicine Physician
  • Brunswick, OH
  • NPI 1174586150
  NPD
• University Hospitals Cleveland Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1043397292
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1093717522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30790",
            "address_2": "MEDINA EMERGENCY ASSOCIATES LTD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441300790",
            "telephone_number": "866-266-8189",
            "fax_number": "330-654-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WASHINGTON",
            "address_2": "MEDINA GENERAL HOSPITAL ED",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-654-1185",
            "fax_number": "330-654-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KIM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35059725B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785673",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Tomazic Boron, LPTA
• Samantha Bostick
• Dina Marie Boukis, PHYSICIAN ASSISTANT
• Bounce Back Physical Therapy LLC
• Carol Bowen
• Renee Bowles, LPN
• Dean Arthur Bowman, RN
• Mark Matthew Bowman, DDS MSD INC.
• Jill Boxler, LSW
• Elizabeth Sue Boyer, LSW

• Emergency Medicine Physician in Medina, OH
• Providers in Medina, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.