MR. MATTHEW A BOWES (NPI# 1275589210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275589210 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW A BOWES |
| Credential | MD |
| Practice Address |
1140 N State St Saint Ignace MI 49781-1048 |
| Practice Telephone | 9066438585 |
| Mailing Telephone | 9066438585 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-11-18 |
| 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 |
MB079970 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104715977 | 05 |
| Street Address |
1140 N STATE ST |
| City | SAINT IGNACE |
| State | MI |
| Zip Code | 49781-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866415 | Charlene J Sweeney | Psychiatry & Neurology | 1140 N State St, Saint Ignace, MI 49781-1048 | 2006-01-19 |
| 1144846163 | Nicole Kushner | Student in an Organized Health Care Education/Training Program | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-25 |
| 1295350429 | Shannon Louise Slocum | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-12 |
| 1750937546 | Thomas Robert Bahra | Pharmacist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2019-08-16 |
| 1275092561 | Brandon Vincent | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2019-03-15 |
| 1871074724 | Rebeckah Zaragoza | Social Worker | 1140 N State St, Saint Ignace, MI 49781 | 2018-08-28 |
| 1659868206 | Mackinac Straits Health System Inc | Clinic/Center | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-19 |
| 1447757208 | Christina Burlak | Social Worker | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-09 |
| 1104322270 | James John Mattson | Physical Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-05 |
| 1356845663 | Stefanie Mattson | Occupational Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207658 | Stephanie Vaughn | Occupational Therapist | 783 W Lant Rd, Saint Ignace, MI 49781 | 2018-03-08 |
| 1124548292 | Straits Area Pharamcy Inc | Pharmacy | 1140 North State Street Suite 1500, Saint Ignace, MI 49781 | 2017-06-21 |
| 1265712442 | Elizabeth Ann Fischer | Nurse's Aide | W1037 Hwy 2, Apt 1, St. Ignace, MI 49781 | 2011-08-19 |
| 1902131733 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 396 N. State Street, 4th Floor, St. Ignace, MI 49781 | 2009-10-13 |
| 1952569378 | Kathryn E Mizzi | Social Worker | 720 W Us-2 Suite D, Saint Ignace, MI 49781 | 2008-06-02 |
| 1174542781 | Edward F Smith | Specialist | 1140 N. State Street, St. Ignace, MI 49781 | 2006-07-18 |
| 1548295959 | David James Thurston | Chiropractor | 135 Bertrand Street, St Ignace, MI 49781 | 2006-07-12 |
| 1326026501 | Susan Herderich Strich | Internal Medicine | 1140 North State Street, Saint Ignace, MI 49781 | 2006-01-06 |
| 1790327518 | Lucas James Thurston | Chiropractor | 135 Bertrand Street, Saint Ignace, MI 49781 | 2019-10-14 |
| 1619419033 | Deborah Narrin | Counselor | 799 Hombach St, Saint Ignace, MI 49781 | 2016-11-16 |
| Find all providers in zip 49781 | ||||
| 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 |
|---|---|---|---|---|
| 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 | SAINT IGNACE |
| Zip Code | 49781 |
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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.