John Byers Bowen, M.D.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Suffolk, VA
NPI 1437474384 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1437474384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 0101264157 (VA)
- Practice address
- 5818 Harbour View Blvd Ste 200
Suffolk, VA 23435-3315 - Phone
- (757) 347-1377
- Fax
- (757) 394-1444
- NPI assigned
- Apr 5, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of South Florida College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Magee-Rosenblum Plastic Surgery, Inc
Practice addresses (Care Compare)
1817 Republic Rd
Virginia Beach, VA 23454-4543
Phone (757) 496-5556
Hospital & facility affiliations
- Chesapeake General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 17 |
| Melanoma (skin cancer) excision | 22 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180622001306 | VA | Practitioner - Plastic and Reconstructive Surgery | 2062722275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magee-Rosenblum Plastic Surgery, Inc | Plastic and Reconstructive Surgery | Current |
Accepting new patients |
Locations
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
300 Medical Pkwy
Ste 316
Chesapeake, VA 23320
Phone (757) 547-0047
5818 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 673-6000
1817 Republic Rd
Virginia Beach, VA 23454
Phone (757) 491-3204
Interoperability endpoints
- jbyersbowen@rps.allscriptsdirect.net
- john.bowen.1@31190.direct.athenahealth.com
- jbowen@directaddress.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 0101264157 | VA | Yes |
Addresses
Primary practice location
5818 Harbour View Blvd Ste 200
Suffolk, VA 23435-3315
Mailing address
5818 Harbour View Blvd Ste 200
Suffolk, VA 23435-3315
Phone (757) 347-1377
Other providers in Suffolk, VA
- Bon Secours Medical Group Hampton Roads Specialty Care LLC
- Bon Secours Surgery Center at Harbour View, LLC
- Brittani D Bonner
- Towana Renee Boone
- Bound 2 Connect Ministries, Inc.
- Bowman R Browne DDS PC
- Ashley Elizabeth Bowman
- Chelsea Lynn Boyle
- Persephanie Brack
- Cassandra Bradford
All providers in Suffolk, VA · Plastic and Reconstructive Surgery Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 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).
- 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.