Active NPI
Denise J Bowen, PA
- Physician Assistant
- Eau Claire, MI
National Provider Identifier
1902831357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002281
- Practice address
- 6270 W Main St
Eau Claire, MI 49111 - Phone
- (269) 461-6927
- Fax
- (269) 461-3068
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- 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 | 5601002281 | MI | Primary |
Addresses
Primary practice location
6270 W Main St
Eau Claire, MI 49111
Mailing address
50 Industrial Park Dr
Bangor, MI 49013
Phone (269) 427-7937
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002281 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902831357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 INDUSTRIAL PARK DR",
"city": "BANGOR",
"state": "MI",
"postal_code": "49013",
"telephone_number": "269-427-7937",
"fax_number": "269-427-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6270 W MAIN ST",
"city": "EAU CLAIRE",
"state": "MI",
"postal_code": "49111",
"telephone_number": "269-461-6927",
"fax_number": "269-461-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "DENISE",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, MI
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.