MR. CHAD R BOWEN (NPI# 1588162614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588162614 |
| Entity Type | Individual |
| Full Name | MR. CHAD R BOWEN |
| Credential | PA |
| Practice Address |
3 4th St E Williston ND 58801-5350 |
| Practice Telephone | 7015776337 |
| Mailing Telephone | 7015776337 |
| Mailing Fax Number | 7015776338 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 4TH ST E |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-5350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417983164 | Misty K Falcon | Nurse Practitioner | 3 4th St E, Williston, ND 58801-5350 | 2006-06-24 |
| 1962753749 | Accessible Podiatry, P.C. | Podiatrist | 3 4th St E, Suite 102, Williston, ND 58801-5350 | 2012-09-20 |
| 1487945630 | Guy K Slann | Podiatrist | 3 4th St E, Suite 102, Williston, ND 58801-5350 | 2011-04-22 |
| 1215260955 | Williston Radiology Consultants PC | Clinic/Center | 3 4th St E, Suite 201, Williston, ND 58801-5350 | 2009-09-14 |
| 1104079409 | Fairlight Medical Center | Clinic/Center | 3 4th St E, Suite 101, Williston, ND 58801-5350 | 2008-10-30 |
| 1811162811 | Fairlight Medical Center | Clinic/Center | 3 4th St E, Williston, ND 58801-5350 | 2008-04-30 |
| 1467528455 | Leszek J Jaszczak | Radiology | 3 4th St E, Suite 201, Williston, ND 58801-5350 | 2006-11-28 |
| 1942375852 | Williston Radiology Consultants PC | Specialist | 3 4th St E, Suite 201, Williston, ND 58801-5350 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619156411 | Lisa M Peterson | Physician Assistant | 1500 14th St W Ste 300, Williston, ND 58801-4079 | 2007-10-29 |
| 1528284270 | Christopher Joseph Hirsch | Physician Assistant | 111 W Noble Ave, Williston, FL 32696-2027 | 2007-04-18 |
| 1609972488 | John Coleman | Physician Assistant | 125 Sw 7th St, Williston, FL 32696-2403 | 2006-09-16 |
| 1366489122 | Johanna Hauser | Physician Assistant | 75 Talcott Rd, Suite 10, Williston, VT 05495-8121 | 2006-06-01 |
| 1801868005 | Patrick Cornelius Kearney | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2006-02-02 |
| 1417572942 | Zachary Nollet | Physician Assistant | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2020-06-10 |
| 1467938399 | Melissa Sue Gilbertson | Physician Assistant | 1301 15th Ave W, Williston, ND 58801 | 2018-07-13 |
| 1346799400 | Kynzie Oliver | Physician Assistant | 1301 15th Ave W, Williston, ND 58801-3821 | 2016-09-29 |
| 1407227101 | Carley Hennessy | Physician Assistant | 1700 11th St W, Williston, ND 58801-4500 | 2015-10-07 |
| 1821490921 | Genevieve Flanders | Physician Assistant | 353 Blair Park Rd, Williston, VT 05495-7530 | 2014-09-19 |
| Find all providers in WILLISTON | ||||
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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.