DEREK THOMAS BOWDEN (NPI# 1295290914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295290914 |
| Entity Type | Individual |
| Full Name | DEREK THOMAS BOWDEN |
| Practice Address |
11820 Nw 131st St Piedmont OK 73078-3014 |
| Practice Telephone | 4059338651 |
| Mailing Telephone | 4059338651 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528485687 | Derek John Bowden | Hospitalist | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2014-03-26 |
| Street Address |
11820 NW 131ST ST |
| City | PIEDMONT |
| State | OK |
| Zip Code | 73078-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720401565 | Julie Ford | Clinic/Center | 2726 Amy Court Ne, Piedmont, OK 73078 | 2014-01-30 |
| 1619018413 | Chiropractic Center of Oklahoma Inc | Clinic/Center | 51 Gooder Simpson Blvd. Ne, Ste B, Piedmont, OK 73078 | 2007-02-12 |
| 1174693279 | Brownlee Optometry Pllc | Optometrist | 51 Gooder Simpson Blvd., Ste. C, Piedmont, OK 73078 | 2006-11-08 |
| 1699867119 | Ryan Scott Aebi | Chiropractor | 13000 Lacresta Drive, Piedmont, OK 73078 | 2006-09-29 |
| 1144233867 | Maurice Ernest Corman M D Pllc | Family Medicine | 63 Gooder Simpson Blvd., Piedmont, OK 73078 | 2006-08-14 |
| 1639104995 | Robert Kent Rickey | Dentist | 104 Piedmont Road, Piedmont, OK 73078 | 2006-07-12 |
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1154834828 | Victoria Mankuburigi Mate-kole | Registered Nurse | 11816 Nw 134th St, Piedmont, OK 73078-3004 | 2017-11-15 |
| 1104299247 | F&e Cummings LLC | Social Worker | 12101 Nw 133rd Ter, Piedmont, OK 73078-3022 | 2015-11-11 |
| 1013448869 | Jennifer Stevens | Speech-Language Pathologist | 11436 Nw 130th St, Piedmont, OK 73078-3030 | 2017-03-23 |
| Find all providers in zip 73078 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458419 | Lynsi Marie Stcyr | Peer Specialist | 7127 N County Line Rd, Piedmont, OK 73078-9136 | 2020-08-19 |
| 1780202416 | Charity Elaine Whitehead | Peer Specialist | 7127 N County Line Rd, Piedmont, OK 73078-9136 | 2020-07-09 |
| 1437634722 | William Ray Hicks | Peer Specialist | 306 N 2nd St, Piedmont, MO 63957-1301 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.