Active NPI
Lori Ann Bowman, M.D.
- Pediatrics Physician
- Orchard Park, NY
National Provider Identifier
1528034261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 221190
- Practice address
- 3725 N. Buffalo Road
Orchard Park, NY 14127 - Phone
- (716) 662-2300
- Fax
- (716) 662-2057
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 221190 | NY | Primary |
Addresses
Primary practice location
3725 N. Buffalo Road
Orchard Park, NY 14127
Mailing address
3725 N. Buffalo Road
Orchard Park, NY 14127
Phone (716) 662-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02273283 | Medicaid | NY |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221190 | NY | MD | Pediatrics Physician |
Interoperability endpoints
- loribowmanmd@orchardparkpediatrics.medentdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1528034261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 N. BUFFALO ROAD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-662-2300",
"fax_number": "716-662-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 N. BUFFALO ROAD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-662-2300",
"fax_number": "716-662-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "221190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02273283",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.