Individual provider Active NPI

Joshua Alan Bower, PA-C

  • Medical Physician Assistant
  • Williamsport, PA
National Provider Identifier
1609112689
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055883 Issued in PA
Practice address
435 River Ave
Williamsport, PA 17701-3722
Phone
(570) 326-8070
Fax
(570) 326-0396
NPI assigned
Dec 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055883 PA Primary

Addresses

Primary practice location

435 River Ave
Williamsport, PA 17701-3722

Mailing address

88 Hardees Dr
Mifflinburg, PA 17844-7062
Phone (570) 966-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20130214000194 PA Practitioner - Physician Assistant 8527212885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Vision Eyecare LLC 6 clinicians

Practice addresses (Care Compare)

23 S Arch St
Milton, PA 17847-1124
Phone (570) 742-7507

30 Choate Cir
Suite 2
Montoursville, PA 17754-9791
Phone (570) 768-4970

4504 Westbranch Hwy
Lewisburg, PA 17837-6605
Phone (570) 768-4971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David F. Fetterman, O.D.P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jbower@cve.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1609112689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HARDEES DR",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178447062",
            "telephone_number": "570-966-3000",
            "fax_number": "570-966-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 RIVER AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013722",
            "telephone_number": "570-326-8070",
            "fax_number": "570-326-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "JOSHUA",
        "middle_name": "ALAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.