Active NPI
Kevin Wayne Bowers, D.O.
- General Practice Physician
- Grove City, OH
National Provider Identifier
1790981231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 34-00-7885-B
- Practice address
- 1866 Pinnacle Club Dr
Grove City, OH 43123-8372 - Phone
- (614) 937-5470
- Fax
- (614) 801-5677
- NPI assigned
- Jun 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 34-00-7885-B | OH | Primary |
Addresses
Primary practice location
1866 Pinnacle Club Dr
Grove City, OH 43123-8372
Mailing address
1866 Pinnacle Club Dr
Grove City, OH 43123-8372
Phone (614) 937-5470
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790981231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1866 PINNACLE CLUB DR",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431238372",
"telephone_number": "614-937-5470",
"fax_number": "614-801-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1866 PINNACLE CLUB DR",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431238372",
"telephone_number": "614-937-5470",
"fax_number": "614-801-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "KEVIN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "34-00-7885-B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.