DR. RONNIE DURRELL BOWEN (NPI# 1316966724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316966724 |
| Entity Type | Individual |
| Full Name | DR. RONNIE DURRELL BOWEN |
| Credential | M.D |
| Practice Address |
5959 Park Ave Memphis TN 38119-5200 |
| Mailing Address |
7296 Rourke Cir Memphis TN 38125-4823 |
| Practice Telephone | 9017652182 |
| Mailing Telephone | 9017561248 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
38708 | TN | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 38708 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235571704 | Ronnie Lee Bowen | Nurse Practitioner | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2013-07-24 |
| Street Address |
5959 PARK AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361576 | Nadine Roux | Physical Therapist | 5959 Park Ave, Memphis, TN 38119-5200 | 2005-08-01 |
| 1932708054 | Healthcare Network Tennessee, Inc. | Neurological Surgery | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-10-20 |
| 1043824279 | Methodist Healthcare East Hospital | Rehabilitation Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1356955579 | Methodist Healthcare East Hospital | General Acute Care Hospital | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1154931657 | Kevin Albert Stahl | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-08-09 |
| 1558979658 | Jessica Anne Raebel | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-07-15 |
| 1023678588 | Hanah Rose Cates | Physician Assistant | 5959 Park Ave, Memphis, TN 38119-5200 | 2019-06-17 |
| 1528621273 | Joshua Ryan Godsey | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2019-04-18 |
| 1750846283 | Daniel Neu | Pharmacist | 5959 Park Ave, Memphis, TN 38119-5200 | 2019-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1942538459 | Michael Alan Dorrity | Emergency Medicine | 2952 Gardens Way, Memphis, TN 38111-2647 | 2009-11-20 |
| 1003912148 | Richard W. Babin | Emergency Medicine | 506 S Yates Rd, Memphis, TN 38120-2436 | 2006-09-16 |
| 1952876427 | Srilatha Raghur | Emergency Medicine | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-10-10 |
| 1144463431 | Jonathan Tyler English | Emergency Medicine | 407 Stonewall St, Memphis, TN 38112-5115 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992182224 | Steven T. Haywood | Emergency Medicine | 1120 Skyline Dr, Johnson City, TN 37604-3779 | 2015-05-06 |
| 1003173923 | Harold Earl Smith | Emergency Medicine | 2277 Stewarts Ferry Pike, Hermitage, TN 37076-3902 | 2012-04-17 |
| 1730322389 | James Robert Davenport | Emergency Medicine | 209 Light Hall, Nashville, TN 37212 | 2009-04-13 |
| 1598938060 | William John Heerman | Emergency Medicine | Vanderbilt Medical Center 1215 21st Ave S, 7th Floor, Mce, Suite 2, North Tower, Nashville, TN 37232-0001 | 2008-04-07 |
| 1669556148 | Adejoke Foluke Aina-babalola | Emergency Medicine | 6716 Nolensville Pike, Suite 240, Brentwood, TN 37027-8805 | 2006-10-24 |
| 1679502314 | Meifung Kerley | Emergency Medicine | Lamont Street, Mountain Home, TN 37684 | 2006-07-03 |
| 1376579730 | Douglas Wister Ligon | Emergency Medicine | 4895 East Main St, Ste A, Erin, TN 37061 | 2006-06-25 |
| 1518912195 | Ralf Joffe | Emergency Medicine | 522 Treyburn Dr, Knoxville, TN 37934-0899 | 2006-05-23 |
| 1598727380 | David D. Buckman | Emergency Medicine | 2320 Wilma Rudolph Blvd., Clarksville, TN 37040-8960 | 2006-04-05 |
| 1407836356 | David S. Goldberg | Emergency Medicine | 5115 Maryland Way, Brentwood, TN 37027-7512 | 2006-01-18 |
| 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.