Lucas Bowers, MMS, PA-C
Individual provider Active NPI Surgical Physician Assistant · Cleveland, OH
NPI 1275909632 · NPPES record last updated Aug 20, 2015
Key facts
- NPI
- 1275909632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 50.004396 (OH)
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (440) 315-5522
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Hospitals Cleveland Medical Center
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-8447
Hospital & facility affiliations
- Uh Cleveland Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151019001262 | OH | Practitioner - Physician Assistant | 4880903608 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.004396 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Cleveland Medical Center | Current |
Accepting new patients | |
| University Hospitals Cleveland Medical Center | Current |
Accepting new patients | |
| University Hospitals Medical Group Inc | Current |
Accepting new patients |
Locations
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- lbowers28343@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50.004396 | OH | Yes |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
1278 W 9TH St Apt 825
Cleveland, OH 44113-1071
Phone (440) 315-5522
NPI Registry JSON
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1275909632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1278 W 9TH ST APT 825",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441131071",
"telephone_number": "440-315-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "440-315-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "LUCAS",
"credential": "MMS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.004396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
- Nicole Bowen
- Paige Bowen
- Theodore Bowen
- Abigail Bower
- Hannah Elizabeth Bowers
- Samantha Bowers
- Tausha Bowers
- Tiffini Jade Bowers
- Debra Bowes
- Patricia Bowie
All providers in Cleveland, OH · Surgical Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.