JENNIFER BZOWY (NPI# 1356447924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356447924 |
| Entity Type | Individual |
| Full Name | JENNIFER BZOWY |
| Credential | ANP |
| Practice Address |
2460 Nw Stewart Pkwy Suite 240 Roseburg OR 97471-1516 |
| Mailing Address |
Po Box 568 Winchester OR 97495-0568 |
| Practice Telephone | 5416774427 |
| Practice Fax Number | 5416776522 |
| Mailing Telephone | 5416774427 |
| Mailing Fax Number | 5416776522 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2017-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
201603200NPPP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500713156 | 05 |
| Street Address |
2460 NW STEWART PKWY SUITE 240 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407832868 | Razvan I Gosman | Internal Medicine | 2460 Nw Stewart Pkwy, Suite 103, Roseburg, OR 97471-1516 | 2005-12-19 |
| 1417252990 | Benjamin James Baird | Physician Assistant | 2460 Nw Stewart Pkwy, Ste 100, Roseburg, OR 97471-1516 | 2011-01-14 |
| 1427283464 | Brandon Wallace Bishop | Podiatrist | 2460 Nw Stewart Pkwy, Ste. 100, Roseburg, OR 97471-1516 | 2009-05-20 |
| 1104074715 | Anjali Gupta | Internal Medicine | 2460 Nw Stewart Pkwy, Suite 102, Roseburg, OR 97471-1516 | 2008-09-08 |
| 1306010186 | Sharon A Thrall, Md PC | Family Medicine | 2460 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97470-1516 | 2008-04-14 |
| 1538357587 | Wen S. Chen | Nurse Practitioner | 2460 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1516 | 2007-10-03 |
| 1952424541 | Donald E. Wonderly Md PC | Obstetrics & Gynecology | 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471-1516 | 2007-04-09 |
| 1780782367 | Cary Todd Sanders | Orthopaedic Surgery | 2460 Nw Stewart Pkwy, Ste. 100, Roseburg, OR 97471-1516 | 2006-09-20 |
| 1871601542 | Samuel J Russo Do PC | Family Medicine | 2460 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1516 | 2006-08-25 |
| 1417990003 | Donald E Wonderly | Obstetrics & Gynecology | 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471-1516 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571244 | Linda Lou Westfall | Nurse Practitioner | 621 W Madrone St, Suite 223, Roseburg, OR 97470-3090 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760043673 | Tracy Lee Stevens | Nurse Practitioner | 2222 Ne 130th Ave, Portland, OR 97230-1705 | 2019-06-23 |
| 1093292971 | Tracie Lynn Wright | Nurse Practitioner | 572 Barton Rd, Eagle Point, OR 97524-4405 | 2018-07-24 |
| 1780048124 | Degrazia Wellness, LLC | Nurse Practitioner | 3210 Hillcrest Park Dr, Suite 100, Medford, OR 97504-7693 | 2016-04-12 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1013307685 | Christa Elane Degrazia | Nurse Practitioner | 146 Clear Creek Dr, Suite 350, Ashland, OR 97520-1851 | 2015-02-03 |
| 1699186395 | Jennifer Marie Kowalczyk | Nurse Practitioner | 715 Nw Dimmick St, Grants Pass, OR 97526-1536 | 2014-05-15 |
| 1558782318 | Rebecca M Meek | Nurse Practitioner | 2430 S 6th St, Klamath Falls, OR 97601-4342 | 2013-12-21 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1689004053 | Kendra Parkin | Nurse Practitioner | 12220 Sw 1st St, Suite 200, Beaverton, OR 97005-2889 | 2013-11-20 |
| 1467742205 | Jennifer Lynda Roberson | Nurse Practitioner | 12550 Sw 2nd St, Beaverton, OR 97005-0519 | 2011-04-13 |
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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.