Active NPI
Casey Ryan Bowles, D.P.M
- Foot & Ankle Surgery Podiatrist
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO60653492
- Practice address
- 404 Black Hills LN SW Ste B
Olympia, WA 98502-8148 - Phone
- (360) 943-1400
- Fax
- (360) 943-0660
- NPI assigned
- Mar 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO60653492 | WA | Primary |
| Podiatrist | 213E00000X | PO60653492 | WA |
Addresses
Primary practice location
404 Black Hills LN SW Ste B
Olympia, WA 98502-8148
Mailing address
1610 Bishop Rd SW Ste 101
Tumwater, WA 98512-7303
Phone (360) 338-0004
Other practice location 1
3929 Bridgeport Way W Ste 308
University Place, WA 98466-4455
Phone (253) 272-2999
Other practice location 2
1220 W 1st St Ste B
Centralia, WA 98531-3018
Phone (360) 736-4151
Other practice location 3
1610 Bishop Rd SW
Suite 101
Tumwater, WA 98512-7303
Phone (360) 754-3338
Other practice location 4
5210 Corporate Center Ct SE Ste A
Lacey, WA 98503-5952
Phone (360) 764-8293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 W 1St St
Suite B
Centralia, WA 98531-3018
Phone (360) 736-4151
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 292 |
| Removal of skin lesions | 47 |
| Removal of nail tissue | 1051 |
| Removal or shaving of skin growth | 379 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO60653492 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fasa Family Wellness PLLC | Podiatrist | Current | Accepting new patients |
| Fasa Family Wellness, PLLC | Current | Accepting new patients | |
| Fasa Family Wellness, PLLC | Podiatrist | Current | Accepting new patients |
Locations
1220 W 1st St
#B
Centralia, WA 98531
Phone (360) 736-4151
5210 Corporate Center Ct SE
Ste A
Lacey, WA 98503
Phone (360) 754-3338
404 Black Hills Ln SW
Ste B
Olympia, WA 98502
Phone (360) 704-4745
1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512
Phone (360) 754-3338
1610 Bishop Rd SW
Ste 7
Tumwater, WA 98512
Phone (360) 754-3338
1610 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 754-3338
3929 Bridgeport Way W
Ste 308
University Place, WA 98466
Phone (253) 272-2999
Interoperability endpoints
- cbowles@usfas.emadirect.md
- drbowles@faasa-wa.direct.office.nextgen.com
Organizations & group practices 3
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.
-
- Podiatrist
- Tumwater, WA
- NPI 1790181899
-
- Foot & Ankle Surgery Podiatrist
- Ellensburg, WA
- NPI 1992513840
-
- Ambulatory Surgical Clinic/Center
- Tumwater, WA
- NPI 1255351714
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1689916728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 BISHOP RD SW STE 101",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985127303",
"telephone_number": "360-338-0004",
"fax_number": "360-515-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 BLACK HILLS LN SW STE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028148",
"telephone_number": "360-943-1400",
"fax_number": "360-943-0660"
}
],
"practiceLocations": [
{
"address_1": "3929 Bridgeport Way W Ste 308",
"address_purpose": "LOCATION",
"city": "University Place",
"state": "WA",
"postal_code": "984664455",
"country_code": "US",
"telephone_number": "253-272-2999",
"fax_number": "253-272-4699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1220 W 1st St Ste B",
"address_purpose": "LOCATION",
"city": "Centralia",
"state": "WA",
"postal_code": "985313018",
"country_code": "US",
"telephone_number": "360-736-4151",
"fax_number": "360-736-4154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1610 Bishop Rd SW",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Tumwater",
"state": "WA",
"postal_code": "985127303",
"country_code": "US",
"telephone_number": "360-754-3338",
"fax_number": "360-753-4861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5210 Corporate Center Ct SE Ste A",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "985035952",
"country_code": "US",
"telephone_number": "360-764-8293",
"fax_number": "360-706-2560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWLES",
"first_name": "CASEY",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-26",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO60653492",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO60653492",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.