BOWIE STATE UNIVERSITY (NPI# 1154888048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154888048 |
| Entity Type | Organization |
| Organization Name | BOWIE STATE UNIVERSITY |
| Practice Address |
14000 Jericho Park Road Henry Wise Wellness Center, Cmrc, Lower Level Bowie MD 20715 |
| Practice Telephone | 3018604170 |
| Practice Fax Number | 6018604179 |
| Mailing Telephone | 3018604170 |
| Mailing Fax Number | 6018604179 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | DR. ARTIE LEE TRAVIS (VICE PRESIDENT STUDENT AFFAIRS) |
| Authorized Official Telephone | 3018603390 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | BOWIE STATE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Henry Wise Wellness Center | Other Name - Individual/Organization |
| Street Address |
14000 JERICHO PARK ROAD HENRY WISE WELLNESS CENTER, CMRC, LOWER LEVEL |
| City | BOWIE |
| State | MD |
| Zip Code | 20715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| 1295098325 | Margo Ree Adesanya | Dentist | 6911 Laurel - Bowie Rd, Suite 204, Bowie, MD 20715 | 2012-06-22 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609405406 | Benjamin Nwosu | Nurse Practitioner | 15004 Jorrick Ct, Bowie, MD 20721-7294 | 2020-04-03 |
| 1962050203 | Suzette Hayes | Nurse Practitioner | 15210 Annapolis Rd, Bowie, MD 20715-1804 | 2019-08-29 |
| 1922309756 | Chika Nwolisa | Nurse Practitioner | 13012 Silver Maple Ct, Bowie, MD 20715-1932 | 2010-11-10 |
| 1396066866 | James Francis Maher | Nurse Practitioner | Bowie Town Medical Services 3060 Mitchellville Road, Suite 103, Bowie, MD 20716-3963 | 2010-06-18 |
| 1114047503 | Michelle Marie Francois Daniels | Nurse Practitioner | 3301 Shortridge Ln, Bowie, MD 20721-2576 | 2007-03-30 |
| 1720088560 | Rosemary Higgins Ayerle | Nurse Practitioner | 4201 Mitchellville Rd, Suite 102, Bowie, MD 20716-3163 | 2005-07-22 |
| 1831595768 | Jo Alderman Greenberg | Nurse Practitioner | 14999 Health Center Dr, Suite 201, Bowie, MD 20716-1074 | 2014-11-04 |
| 1629369301 | Kyeretwie Frimpong Bosomtwe | Nurse Practitioner | 4000 Mitchellville Rd, Suite 422, Bowie, MD 20716-3104 | 2011-04-28 |
| 1760635411 | Jackelin Esther Curry | Nurse Practitioner | 16900 Science Dr, Suite 100, Bowie, MD 20715-4401 | 2008-10-28 |
| 1134333941 | Li-lin Chiu | Nurse Practitioner | 14000 Jericho Park Rd, Bowie State University Henry Wise Wellness Center, Bowie, MD 20715-3319 | 2007-05-10 |
| Find all providers in BOWIE | ||||
Please comment or provide details below to improve the information on BOWIE STATE UNIVERSITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.