Individual provider Active NPI

Michael David Bowen, M.D.

  • Psychiatry Physician
  • Lancaster, PA
National Provider Identifier
1861551806
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35085362 Issued in OH
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
35085362OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Aug 1, 2011 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 1, 2011 Accepting new patients
Lancaster General Medical Group Psychiatry Current Accepting new patients
Lancaster General Hospital Psychiatry CurrentSince Aug 1, 2011 Accepting new patients
Lancaster Behavioral Health Hospital LLC CurrentSince Feb 20, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 1, 2011 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

  • Direct secure messaging: mbowen74845@direct-lghealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35085362 OH Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.