Active NPI
John Scott Bowen, M.D.
- Diagnostic Radiology Physician
- Federal Way, WA
National Provider Identifier
1306845128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00021700
- Practice address
- 533 S 336TH St
Ste C
Federal Way, WA 98003-6329 - Phone
- (253) 661-1700
- Fax
- (253) 661-4565
- NPI assigned
- Jul 14, 2005
- Last updated
- Feb 6, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00021700 | WA | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD00021700 | WA |
Addresses
Primary practice location
533 S 336TH St
Ste C
Federal Way, WA 98003-6329
Mailing address
PO Box 26730
Federal Way, WA 98093-3730
Phone (253) 661-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8100760 | Medicaid | WA |
Other names 1
- J. Scott Bowen
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1306845128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26730",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980933730",
"telephone_number": "253-661-1700",
"fax_number": "253-661-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 S 336TH ST",
"address_2": "STE C",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036329",
"telephone_number": "253-661-1700",
"fax_number": "253-661-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "JOHN",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00021700",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WA",
"license": "MD00021700",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8100760",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J.",
"last_name": "BOWEN",
"middle_name": "SCOTT",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.