DR. MICHAEL G BOWERS (NPI# 1619036597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619036597 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G BOWERS |
| Credential | DO |
| Practice Address |
12110 Sunset Hills Road Ll20 Reston VA 20190 |
| Mailing Address |
Po Box 791128 Ll20 Baltimore MD 21279-1128 |
| Practice Telephone | 7038341473 |
| Practice Fax Number | 7033187463 |
| Mailing Telephone | 7033912030 |
| Mailing Fax Number | 7032733943 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102201349 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11800 Sunrise Valley Dr Ste 700, Reston, VA 201915315 | 7038341473 | 7033187463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689807091 | Michael Raymond Bowers | Psychologist | 1546 Elm St, Denver, CO 80220-1241 | 2009-09-01 |
| 1649682329 | Michael A Bowers | Pharmacist | 9200 N Main St, Dayton, OH 45415-1125 | 2014-05-29 |
| 1104112119 | Michael Bowers | Family Medicine | 1180 College Drive, Rock Springs, WY 82901 | 2011-06-28 |
| 1942488176 | Michael F Bowers | Counselor | 2922 Cleveland Blvd, Suite 300, Caldwell, ID 83605-4436 | 2008-02-11 |
| 1003830985 | Michael J Bowers | Radiology | 1700 S Court St Ste F, Visalia, CA 93277-4931 | 2006-07-26 |
| 1467442491 | Michael G Bowers | Radiology | 2263 S Clinton Ave, Rochester, NY 14618-2623 | 2005-10-21 |
| Street Address |
12110 SUNSET HILLS ROAD LL20 |
| City | RESTON |
| State | VA |
| Zip Code | 20190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417071697 | Fairfax Family Practice Centers PC | Family Medicine | 12110 Sunset Hills Road, Lower Level 20, Reston, VA 20190 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366729675 | Eric S. Havens P L L C | Family Medicine | 1850 Town Center Pkwy Ste 207, Reston, VA 20190-3219 | 2011-11-15 |
| 1396961025 | Eric S Havens | Family Medicine | 1850 Town Center Pkwy # 207, Reston, VA 20190-3219 | 2007-04-18 |
| 1295742419 | Thomas S Sullivan | Family Medicine | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2006-08-01 |
| 1699769745 | Andrew J Harding | Family Medicine | 11800 Sunrise Valley Dr, Suite 700, Reston, VA 20191-5300 | 2005-09-06 |
| 1689674202 | Kevin J Kelleher | Family Medicine | 12040 S Lakes Dr, Ste 207, Reston, VA 20191-1246 | 2005-07-26 |
| 1548268857 | Allen Kinne Howe Jr. | Family Medicine | 12330 Pinecrest Rd, Suite 250, Reston, VA 20191-1642 | 2005-07-11 |
| 1023618261 | Kelly Hernandez | Family Medicine | 12330 Pinecrest Rd Ste 250, Reston, VA 20191-1657 | 2020-10-27 |
| 1649893793 | Nova Primary Care LLC | Family Medicine | 1860 Town Center Dr Ste 340, Reston, VA 20190-5912 | 2020-05-24 |
| 1871975235 | Christopher John Thomas | Family Medicine | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2015-06-22 |
| 1780967232 | Sandra Bruce Nichols | Family Medicine | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2011-09-21 |
| Find all providers in RESTON | ||||
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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.