Colbey Ryan Bowen

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DO3441 Issued in ME

Practice address

33 Mollison Way
Lewiston, ME 04240-5805

Phone

(207) 784-5782

Fax

(207) 783-9268

NPI assigned

Mar 18, 2019

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Male

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 ME

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colbeybowen@palpa.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.

• Pediatric Associates of Lewiston P.a.

  • Pediatrics Physician
  • Lewiston, ME
  • NPI 1184709495
  NPD

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1699234658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405805",
            "telephone_number": "207-784-5782",
            "fax_number": "207-783-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405805",
            "telephone_number": "207-784-5782",
            "fax_number": "207-783-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "COLBEY",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "DO3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Stephen Bourdon, ATC
• Ari Bouse
• Nicole Boutaugh, DO
• Katie R Bove, LCSW
• Amanda Bowden, CPNP
• Benjamin Bowie, CADC
• Zackary Box
• Stephen Douglas Boyd, MD
• Annabel L Bradford, MD
• Rebecca M Brakeley, MD

• Pediatrics Physician in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.