DR. TRACEY WALSTON BOWEN (NPI# 1548221039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548221039 |
| Entity Type | Individual |
| Full Name | DR. TRACEY WALSTON BOWEN |
| Credential | MD |
| Practice Address |
137 Third Street Ayden NC 28513 |
| Mailing Address |
Po Box 427 Ayden NC 28513 |
| Practice Telephone | 2527463116 |
| Practice Fax Number | 2527462394 |
| Mailing Telephone | 2527463116 |
| Mailing Fax Number | 2527462394 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2009-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9801178 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8912243 | 05 |
| Street Address |
137 THIRD STREET |
| City | AYDEN |
| State | NC |
| Zip Code | 28513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205898426 | James Madison Galloway Jr. | Family Medicine | 137 Third Street, Ayden, NC 28513 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075424 | Mariah Vanstaalduinen | Occupational Therapist | 128 Snowhill Rd, Ayden, NC 28513 | 2018-08-30 |
| 1043682735 | Michael Micelli | Pharmacist | 182 Nc 102 East, Ayden, NC 28513 | 2015-10-21 |
| 1356679302 | Leigh Ann Teal | Pharmacist | 140 Nc Hwy 102 East, Ayden, NC 28513 | 2009-12-03 |
| 1932370699 | Richard Frazier | Family Medicine | 182 Gumberry Rd, Ayden, NC 28513 | 2008-03-20 |
| 1376712836 | Ronald D Bancroft | Counselor | 417 A First Street, Ayden, NC 28513 | 2008-02-28 |
| 1104040815 | Edith L Smith | Occupational Therapist | 642 E 2nd Street, Ayden, NC 28513 | 2007-04-12 |
| 1376653071 | Kerr Drug Inc | Pharmacy | 140 Nc Hwy 102 West, Ayden, NC 28513 | 2006-08-30 |
| 1760703631 | Richard Garrett Roach | Pharmacist | 140 Nc Hwy 102 West, Kerr Drug #500, Ayden, NC 28513 | 2010-06-15 |
| 1346458916 | Stephen Chambers | Social Worker | 175 Philpot Lane, Beaver, WV 28513 | 2007-05-18 |
| 1689004194 | Port Care Givers, LLC | In Home Supportive Care | 379 Hines Dr, Ayden, NC 28513-1409 | 2013-11-19 |
| Find all providers in zip 28513 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578638078 | Pitt Family Physicians, Pa | Internal Medicine | 137 3rd St, Ayden, NC 28513-7252 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475474 | Fhpg, LLC | Internal Medicine | 1690 Us Highway 1 S Ste 300, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
| 1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| 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.