Individual provider Active NPI

Deborah Mitchell Bowe, M.D.

  • Internal Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1679512230
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-056738 Issued in OH
Practice address
822 Kumho Dr
Suite 202
Fairlawn, OH 44333-9297
Phone
(330) 576-0500
Fax
(330) 576-0467
NPI assigned
Jun 6, 2006
Last updated
Dec 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-056738 OH Primary
Hospitalist Physician 208M00000X 35-056738 OH

Addresses

Primary practice location

822 Kumho Dr
Suite 202
Fairlawn, OH 44333-9297

Mailing address

47 Maple St
Chagrin Falls, OH 44022-3142

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-056738OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers III LLC Past Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine PastSince Nov 1, 2012 Accepting new patients
Oscar Nicholson Jr MD Inc Past Accepting new patients
Memorial Hospital of Geneva Past Accepting new patients
BMH Professional Corporation Internal Medicine Past Accepting new patients
Brown Memorial Hospital Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1679512230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAPLE ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 KUMHO DR",
            "address_2": "SUITE 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339297",
            "telephone_number": "330-576-0500",
            "fax_number": "330-576-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWE",
        "first_name": "DEBORAH",
        "middle_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-056738",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-056738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.