CODY ASHTON RYAN BOWSER (NPI# 1225690878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225690878 |
| Entity Type | Individual |
| Full Name | CODY ASHTON RYAN BOWSER |
| Practice Address |
526 Old Liverpool Rd Ste 9 Liverpool NY 13088-6285 |
| Mailing Address |
79 Glenridge Rd Glenville NY 12302-4523 |
| Practice Telephone | 3154533911 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01420800 | 05 |
| Street Address |
526 OLD LIVERPOOL RD STE 9 |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-6285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679805329 | Lori Ann Sobotka | Registered Nurse | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2010-02-05 |
| 1205475522 | Mia Martans | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2020-01-03 |
| 1356980122 | Shannen Clark | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-12-27 |
| 1609421288 | Tori Marie Hastings | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-08-09 |
| 1679125306 | Kimberly Blomgren | Registered Nurse | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-07-12 |
| 1407415979 | Lorraine Ann Bushnell | Licensed Practical Nurse | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-06-10 |
| 1770141749 | Gabrielle Mary Parrow | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-06-04 |
| 1043779929 | Lori Ann Barrett | Registered Nurse | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-03-19 |
| 1841759560 | Craig Garay Jones | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-03-13 |
| 1437613940 | Lena May | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316964 | Jennifer A Crider | Counselor | 4985 Blacksmith Path, Liverpool, NY 13088-4703 | 2020-04-30 |
| 1699209098 | Steven Dimarzo, Lmhc, Pllc | Counselor | 103 Pleasantview Dr, Liverpool, NY 13088-6443 | 2017-04-12 |
| 1013290469 | Lauren Hibbard | Counselor | 526 Old Liverpool Road, Liverpool, NY 13088-6249 | 2011-09-22 |
| 1205475522 | Mia Martans | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2020-01-03 |
| 1356980122 | Shannen Clark | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-12-27 |
| 1609421288 | Tori Marie Hastings | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-08-09 |
| 1770141749 | Gabrielle Mary Parrow | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-06-04 |
| 1841759560 | Craig Garay Jones | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-03-13 |
| 1437613940 | Lena May | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2019-01-29 |
| 1821574831 | Alexandrea Brazill | Counselor | 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088-6285 | 2018-07-12 |
| Find all providers in LIVERPOOL | ||||
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| 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.