Amanda C Bowers, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

279201 Issued in MA

Practice address

70 Atlantic Ave
Marblehead, MA 01945-3098

Phone

(781) 631-7800

Fax

(781) 631-4319

NPI assigned

Mar 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Amanda C Word Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bowers.amanda.mhped@direct.partners.masshiway.net

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

• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914
  Medicare reassignment
• Atrius Health, Inc.

  dba Harvard Vanguard Medical Associates

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1114265634

  Single Specialty

  NPD
• Atrius Health, Inc.

  dba Dedham Medical Associates-Norwood

  • Internal Medicine Physician
  • Norwood, MA
  • NPI 1467847632

  Single Specialty

  NPD
• Marblehead Pediatrics

  • Pediatrics Physician
  • Marblehead, MA
  • NPI 1386794584

  Single Specialty

  NPD
• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398

  Single Specialty

  NPD
• Atrius Health, Inc.

  dba Harvard Vanguard Medical Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1740238526

  Single Specialty

  NPD (past)
• Southern Vermont Health Services Corp

  • General Practice Physician
  • Brattleboro, VT
  • NPI 1952319220

  Single Specialty

  NPD (past)
• York Family Practice

  • Family Medicine Physician
  • York, ME
  • NPI 1588713218

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1568824902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ATLANTIC AVE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453098",
            "telephone_number": "781-631-7800",
            "fax_number": "781-631-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ATLANTIC AVE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453098",
            "telephone_number": "781-631-7800",
            "fax_number": "781-631-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "279201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD23166",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCSR",
            "identifier": "MCSR005248A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14523875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "279201",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "042.0014718",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAP",
            "identifier": "1470576",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABP",
            "identifier": "1015844",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "470641",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WORD",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan D Birch, DPT, PT
• Bruce P Bolen, DMD
• John-Michael Joseph Bona, O.D.
• Angelo Guy Boncore, D.M.D.
• Michael Scott Bornhorst, MSW LICSW
• Kelley Springer Braun, RPT
• Lisa Bray-Sinclair, LICSW
• Joan Mary Brennan, RN
• Sarah Joanne Broderick
• Jessica Brown, CCC-SLP

• Pediatrics Physician in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.