Active NPI
Ryan McDonough Bowser, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08620
- Practice address
- 1915 Randolph Rd
Charlotte, NC 28207-1101 - Phone
- (704) 323-2426
- NPI assigned
- Mar 22, 2006
- Last updated
- Apr 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-08620 | NC | Primary |
Addresses
Primary practice location
1915 Randolph Rd
Charlotte, NC 28207-1101
Mailing address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0397730007 | Other | NC | NSC # |
| 1740249242 | Medicaid | NC | |
| 3882PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
10315 Hamptons Park Dr
Huntersville, NC 28078-7217
Phone (704) 323-2800
1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282
2001 Randolph Rd
Charlotte, NC 28207-1215
Phone (704) 332-2225
2001 Vail Ave
Suite 200
Charlotte, NC 28207-1219
Phone (704) 323-2000
7482 Waterside Crossing Blvd
Denver, NC 28037-3006
Phone (704) 827-0598
9848 N Tryon St
Charlotte, NC 28262-5512
Phone (704) 323-2100
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Physician Assistant | Current | Accepting new patients |
| Orthocarolina, PA | Physician Assistant | Current | Accepting new patients |
| Orthocarolina | Physician Assistant | Past | Accepting new patients |
| Triad Radiology Associates PLLC | Past | Accepting new patients | |
| Syracuse Orthopedic Specialists, PLLC | Past | Accepting new patients | |
| Cardiac Surgery Associates of Cny PC | Past | Accepting new patients |
Locations
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
1915 Randolph Rd
Fl 1
Charlotte, NC 28207
Phone (704) 323-3000
2001 Vail Ave
Ste 200
Charlotte, NC 28207
Phone (704) 323-2564
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1497704217
-
- Diagnostic Radiology Physician
- Winston Salem, NC
- NPI 1659485001
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Syracuse, NY
- NPI 1841289113
-
- Orthopaedic Surgery Physician
- Syracuse, NY
- NPI 1669410379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1740249242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092290",
"telephone_number": "704-323-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071101",
"telephone_number": "704-323-2426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWSER",
"first_name": "RYAN",
"middle_name": "MCDONOUGH",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-08620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC #",
"identifier": "0397730007",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740249242",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3882PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.
- 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.