Active NPI
Michael David Bowen, M.D.
- Psychiatry Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35085362
- Practice address
- 802 New Holland Ave
Lancaster, PA 17602-2287 - Phone
- (717) 560-3782
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
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- NPI 1073908323
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110811000423 | PA | Practitioner - Psychiatry | 9830368679 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35085362 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Hospital | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Psychiatry | Current | Accepting new patients |
| Lancaster General Hospital | Psychiatry | Current | Accepting new patients |
| Lancaster Behavioral Health Hospital LLC | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients |
Locations
555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945
802 New Holland Ave
Lancaster, PA 17602
Phone (717) 544-9438
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
802 New Holland Ave
Ste 100
Lancaster, PA 17602
Phone (717) 544-1427
333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100
Interoperability endpoints
- mbowen74845@direct-lghealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35085362 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
802 New Holland Ave
Lancaster, PA 17602-2287
Mailing address
802 New Holland Ave
Lancaster, PA 17602-2287
Phone (717) 560-3782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2011.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1861551806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 NEW HOLLAND AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022287",
"telephone_number": "717-560-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 NEW HOLLAND AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022287",
"telephone_number": "717-560-3782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35085362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.