Active NPI
Karen Ann Bowerman, PA-C
- Physician Assistant
- Martinsburg, WV
National Provider Identifier
1104824358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1106
- Practice address
- Dry Run Rd
City Hospital
Martinsburg, WV 25401 - Phone
- (304) 264-1000
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 0110001519 | VA | |
| Physician Assistant | 363A00000X | 1106 | WV | Primary |
Addresses
Primary practice location
Dry Run Rd
City Hospital
Martinsburg, WV 25401
Mailing address
133 Travis CT
Winchester, VA 22602-4481
Phone (540) 533-4757
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 |
|---|---|---|---|
| 0110001519 | VA | MD | Physician Assistant |
| 1106 | WV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1104824358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 TRAVIS CT",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226024481",
"telephone_number": "540-533-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DRY RUN RD",
"address_2": "CITY HOSPITAL",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25401",
"telephone_number": "304-264-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERMAN",
"first_name": "KAREN",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110001519",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "1106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.