1942289954 NPI number — ERIC P BOWMAN MD

Table of content: ERIC P BOWMAN MD (NPI 1942289954)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942289954 NPI number — ERIC P BOWMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOWMAN
Provider First Name:
ERIC
Provider Middle Name:
P
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942289954
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3421 CONCORD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17402-9001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-851-2450
Provider Business Mailing Address Fax Number:
717-851-3469

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 S GEORGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-851-2450
Provider Business Practice Location Address Fax Number:
717-851-3469
Provider Enumeration Date:
01/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  MD061834L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207P00000X , with the licence number: C10005072 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0398749000 . This is a "AMERIHEALTH 65 PA-YH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 161942 . This is a "UNISON-GH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 685262 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1141003 . This is a "AMERIHEALTH MERCY-YH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001932527 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 34831 . This is a "GEISINGER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000954501 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50067123 . This is a "CAPITAL BLUE CROSS-GH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 04647340000 . This is a "AMERIHEALTH 65 PA-GH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 237618 . This is a "UNISON-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1537578 . This is a "GATEWAY-YH&GH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50067209 . This is a "CAPITAL BLUE CROSS-YH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20036611 . This is a "AMERIHEALTH MERCY-GH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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