Active NPI
Lawrence P Bowen MD Inc
- Plastic and Reconstructive Surgery Physician
- Providence, RI
National Provider Identifier
1235101445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- RI5305
- Legal business name
- LAWRENCE P BOWEN MD INC
- Practice address
- 235 Plain St
Suite 304
Providence, RI 02905-3241 - Phone
- (401) 331-4140
- Fax
- (401) 331-0410
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence P Bowen, MD
- Title
- President
- Phone
- (401) 331-4140
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | RI5305 | RI | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | RI5305 | RI | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | RI5305 | RI | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | RI5305 | RI | Primary |
Addresses
Primary practice location
235 Plain St
Suite 304
Providence, RI 02905-3241
Mailing address
235 Plain St
Suite 304
Providence, RI 02905-3241
Phone (401) 331-4140
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000759 | Medicaid | RI | |
| 4000248 | Other | RI | NEIGHBORHOOD HEALTH |
| 30202009 | Other | MA | MASS BCBS |
| 300042 | Other | RI | BLUE CHIP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193356800000",
"number": "1235101445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 PLAIN ST",
"address_2": "SUITE 304",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053241",
"telephone_number": "401-331-4140",
"fax_number": "401-331-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PLAIN ST",
"address_2": "SUITE 304",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053241",
"telephone_number": "401-331-4140",
"fax_number": "401-331-0410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE P BOWEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2007-10-26",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-331-4140",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2082S0099X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "RI",
"license": "RI5305",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "RI",
"license": "RI5305",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgery of the Hand",
"state": "RI",
"license": "RI5305",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "RI",
"license": "RI5305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000759",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "4000248",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS BCBS",
"identifier": "30202009",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "300042",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.