DR. THEODORE A. BOWLES JR. (NPI# 1841419595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841419595 |
| Entity Type | Individual |
| Full Name | DR. THEODORE A. BOWLES JR. |
| Credential | D.O. |
| Practice Address |
109 Princeton Dr Macon GA 31220-8739 |
| Practice Telephone | 4784764663 |
| Mailing Telephone | 4784764663 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 025724 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
109 PRINCETON DR |
| City | MACON |
| State | GA |
| Zip Code | 31220-8739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| Find all providers in zip 31220 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1942244017 | Caleb Duro Ajibade | Emergency Medicine | 176 Springfield Blvd, Macon, GA 31210-1673 | 2006-06-16 |
| 1629043575 | Harvey Norman Clarkson | Emergency Medicine | 1205 N Missouri St, Macon, MO 63552-2095 | 2006-02-22 |
| 1427047422 | Manishkumar Rajanikant Joshi | Emergency Medicine | 3400 Riverside Dr, Macon, GA 31210-2513 | 2005-10-21 |
| 1821091810 | James L Deline | Emergency Medicine | 307 Mckay St, Macon, MO 63552-2029 | 2005-05-24 |
| 1386209815 | Adelina Roxana Buganu | Emergency Medicine | 380 Hospital Dr, Macon, GA 31217-8001 | 2019-05-09 |
| 1366977647 | Mitali Mehta | Emergency Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-25 |
| 1922456300 | K.v. Panchapakasan, M.d. PC | Emergency Medicine | 818 Forsyth St, Macon, GA 31201-2139 | 2016-05-26 |
| 1659734630 | Douglas Jason Buckert | Emergency Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2016-03-29 |
| 1598126641 | Central Georgia Emergency Group, LLC | Emergency Medicine | 777 Hemlock St, Macon, GA 31201-2102 | 2016-03-17 |
| Find all providers in MACON | ||||
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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.