Benjamin D Blowers, PA-C
Individual provider Active NPI Physician Assistant · Wheeling, WV
NPI 1295088607 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1295088607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 01672 (WV)
- Practice address
- 2000 Eoff St
Wheeling, WV 26003-3823 - Phone
- (304) 233-2455
- Fax
- (304) 233-6073
- NPI assigned
- Oct 23, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, 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 |
|---|---|---|---|---|
| I20130130000337 | WV | Practitioner - Physician Assistant | 5395999296 | Reassigns benefits to 1 organization |
| I20140428001333 | OH | Practitioner - Physician Assistant | 5395999296 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1672 | WV | MD | School Counselor |
| 01672 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Current |
Accepting new patients |
Locations
55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349
1341 Clark St
Ste 1
Cambridge, OH 43725
1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900
936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 01672 | WV | Yes |
Addresses
Primary practice location
2000 Eoff St
Wheeling, WV 26003-3823
Mailing address
109 Mount Wood Rd
Wheeling, WV 26003-2632
Phone (304) 233-2455
Other practice location 1
215 Lafayette Ave
Moundsville, WV 26041-1032
Phone (304) 845-3435
Other practice location 2
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 845-3211
Other providers in Wheeling, WV
- Bethany Blewitt
- Mary Ellen Bliss
- Lindsey Ann Blobner
- Daisy Bloomfield
- Laura R Blosser
- David A Blowers
- Joni Sue Blum
- Kristin Boan
- Tracy Bober
- Melyssa Boehm
All providers in Wheeling, WV · Physician Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.