DR. JOHN THEODORE BOWMAN (NPI# 1396731006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396731006 |
Entity Type | Individual |
Full Name | DR. JOHN THEODORE BOWMAN |
Credential | M.D. |
Practice Address |
1 Ridgewood Dr Bangor ME 04401-2652 |
Practice Telephone | 2079456200 |
Practice Fax Number | 2079903015 |
Mailing Telephone | 2079456200 |
Mailing Fax Number | 2079903015 |
Enumeration Date | 2005-09-27 |
Last Update Date | 2014-03-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | EL-05-010 | ME | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 11501881 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962955815 | John C Bowman | Licensed Practical Nurse | 1507 Fisher Rd, Lima, OH 45802 | 2016-07-27 |
1366809006 | John Bowman | Counselor | 9017 Progressive Ct, Las Vegas, NV 89149-3090 | 2016-01-26 |
1134568777 | John Norman Bowman Sr. | Dentist | 760 Tufthunter, Macon, GA 31210 | 2013-06-17 |
1255691325 | John Milton Bowman | Dentist | 6395 Dobbin Rd Ste 210, Columbia, MD 21045-4759 | 2012-05-23 |
1477824589 | John Herman Bowman | Ophthalmology | 824 Waterfront Dr, Lancaster, PA 17602-4122 | 2012-01-20 |
1649591272 | John Patrick Bowman | Dentist | 14422 Orchard Pkwy Ste 200, Westminster, CO 80023 | 2010-06-17 |
1174659478 | John S. Bowman | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2007-02-23 |
1306943717 | John J Bowman | Psychologist | 5225 Nesconset Hwy Ste 49, Port Jefferson Station, NY 11776-2060 | 2006-09-20 |
1518998962 | John Richard Bowman | Specialist/Technologist | Peden Stadium, Room 118, Ohio University, Athens, OH 45701 | 2006-07-05 |
1982672861 | John T Bowman | Dentist | 900 Nw 13th St, Boca Raton, FL 33486-2335 | 2006-03-08 |
Street Address |
1 RIDGEWOOD DR |
City | BANGOR |
State | ME |
Zip Code | 04401-2652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942682703 | Amy Burke Cyr | Optometrist | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2015-06-29 |
1619380664 | Catena Marie Crozier-fitzgerald | Optometrist | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2014-06-07 |
1346653425 | Christopher Brightbill | Optometrist | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2014-06-06 |
1184997215 | Luke Gamble | Optometrist | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2012-02-21 |
1750557955 | Curt Tyler Young | Ophthalmology | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2008-05-07 |
1447465737 | Oscar Rafael Batlle IIi | Ophthalmology | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-11 |
1649356700 | Vision Care of Maine, LLC Optometry Group | Optometrist | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-10-31 |
1275629081 | Vision Care of Maine LLC | Clinic/Center | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-10-05 |
1225137847 | Vision Care of Maine LLC | Optometrist | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
Find all providers in zip 04401 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437314127 | Tracey Durkovich Clark | Ophthalmology | 1 Ridgewood Drive, Bangor, ME 04401 | 2008-07-23 |
1003981200 | Deborah S Hoffert | Ophthalmology | 700 Mount Hope Ave Ste 470, Evergreen Woods, Bangor, ME 04401-5660 | 2006-11-22 |
1275521650 | Cynthia Amanda Self | Ophthalmology | 900 Hammond St # A, Bangor, ME 04401-4378 | 2005-10-11 |
1255330205 | Paul Rush Moulton | Ophthalmology | 5 Grove St, Bangor, ME 04401-5309 | 2005-07-20 |
1013314483 | Eastern Maine Eye Associates, Pa | Ophthalmology | 885 Union Street, Suite 120, Bangor, ME 04401-3087 | 2014-12-01 |
1750557955 | Curt Tyler Young | Ophthalmology | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2008-05-07 |
1447465737 | Oscar Rafael Batlle IIi | Ophthalmology | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-11 |
1134294309 | Robert J Takach | Ophthalmology | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2006-11-22 |
1174603872 | Eye Center Northeast | Ophthalmology | 417 State St, Suite 230, Bangor, ME 04401-6620 | 2006-10-17 |
1679563076 | Eastern Maine Eye Associates Pa | Ophthalmology | 900 Hammond St # A, Bangor, ME 04401-4378 | 2005-10-26 |
Find all providers in BANGOR |
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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.