MARK BOWERS (NPI# 1255316691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255316691 |
| Entity Type | Individual |
| Full Name | MARK BOWERS |
| Credential | DO |
| Practice Address |
200 Hemlock Tawas City MI 48763 |
| Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
| Practice Telephone | 9893620153 |
| Practice Fax Number | 9893624683 |
| Mailing Telephone | 9893620153 |
| Mailing Fax Number | 9893624683 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2008-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
5101015455 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 310981343D | 05 | |
| GA | 310981343F | 05 | |
| GA | 310981343B | 05 | |
| GA | 310981343C | 05 | |
| GA | 310981343E | 05 | |
| GA | 310981343A | 05 | |
| SC | G59129 | 05 | |
| GA | AMERIGROUP | 01052278 | 01 |
| MI | 4709960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316338924 | Mark Bowers | Registered Nurse | 1965 S Fremont Ave Ste 330, Springfield, MO 65804 | 2015-02-18 |
| 1184788960 | Mark R Bowers | Internal Medicine | 3941 J St Ste 350, Sacramento, CA 95819 | 2006-12-19 |
| 1356438915 | Mark A Bowers | Optometrist | 1323 Highway 394 Ste B, Blountville, TN 37617-4133 | 2006-10-06 |
| 1427038462 | Mark Wayne Bowers | Chiropractor | 216 E Commerce St, Milford, MI 48381-1918 | 2006-01-17 |
| 1316353949 | Mark Bowers | Orthopaedic Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2014-07-02 |
| 1689798332 | Mark Bowers | Psychologist | 1711 Massachusetts St, Lawrence, KS 66044-4257 | 2007-03-19 |
| 1811040504 | Mark L Bowers | Physician Assistant | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2007-01-18 |
| Street Address |
200 HEMLOCK |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376527176 | Judy Sables | Nurse Anesthetist, Certified Registered | 200 Hemlock, Tawas City, MI 48763 | 2005-12-05 |
| 1902126667 | Charity C Simpkins | Dietitian, Registered | 200 Hemlock, Tawas City, MI 48764-0659 | 2010-06-04 |
| 1437233426 | Ascension St Joseph Hospital | Family Medicine | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1255416897 | Ascension St Joseph Hospital | Emergency Medicine | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1235213257 | Ascension St Joseph Hospital | Medicare Defined Swing Bed Unit | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1447331434 | St Joseph Health System Inc | Nurse Anesthetist, Certified Registered | 200 Hemlock, Tawas City, MI 48763 | 2006-10-18 |
| 1003996679 | Ascension St Joseph Hospital | Pediatrics | 200 Hemlock, Tawas City, MI 48763 | 2006-10-17 |
| 1467532119 | Ascension St Joseph Hospital | Anesthesiology | 200 Hemlock, Tawas City, MI 48763 | 2006-10-17 |
| 1801993266 | Sarah Vansumeren | Physician Assistant | 200 Hemlock, Tawas City, MI 48763 | 2006-09-20 |
| 1104835198 | Ian Mclaren | Anesthesiology | 200 Hemlock, Tawas City, MI 48763 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| Find all providers in zip 48763 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681359 | Jeffrey Hollady | Emergency Medicine | 200 Hemlock St, Tawas City, MI 48763 | 2005-12-28 |
| 1972589356 | Angela Cheers | Emergency Medicine | 200 Hemlock St, Tawas City, MI 48763-9237 | 2005-12-19 |
| 1285618033 | Jennifer L Jones | Emergency Medicine | 200 Hemlock St, Tawas City, MI 48763-9237 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48763 |
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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.