Dawn R Bova, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA15876 Issued in OH

Practice address

402 McPherson Hwy
Clyde, OH 43410-1133

Phone

(419) 483-4040

Fax

(419) 547-2815

NPI assigned

Jun 6, 2014

Last updated

Jun 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Medical Mi PLLCGroup PAC ID 6002332012, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dawnbova@bpsoh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M Medical Mi PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1578377628

  OH

  Medicare reassignment Care Compare group
• Talbot Clinical Services of Ohio LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1053902007
  Medicare reassignment NPD
• Talbot Clinical Services of Ohio LLC

  • Professional Counselor
  • Toledo, OH
  • NPI 1245635549
  Medicare reassignment NPD
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312
  Medicare reassignment
• Talbot Clinical Services of Ohio LLC

  dba Talbot Clinical Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mt Washington, KY
  • NPI 1316646722
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1558774604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MCPHERSON HWY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101133",
            "telephone_number": "419-483-4040",
            "fax_number": "419-547-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MCPHERSON HWY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101133",
            "telephone_number": "419-483-4040",
            "fax_number": "419-547-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVA",
        "first_name": "DAWN",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA15876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Birkholz, RN
• Kyle Birkholz
• Sara Mae Bishop
• Dawn Christine Bolen, COTA
• Mark Alan Borsick
• Jarad Branski, LAT, ATC
• Mark A. Bromley, ED.S.
• Anita L Byers
• Brandi L Carter
• Sheila Rene' Caster, LPN

• Nurse Practitioner in Clyde, OH
• Providers in Clyde, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.