MR. RONALD R BOWEN (NPI# 1639223266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639223266 |
| Entity Type | Individual |
| Full Name | MR. RONALD R BOWEN |
| Credential | LCSW |
| Practice Address |
300 Gault Ave S Fort Payne AL 35967-1824 |
| Practice Telephone | 2569979356 |
| Mailing Telephone | 2569979356 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1520C | AL | Ambulatory Health Care Facilities |
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1520C | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 51550445 | 05 | |
| AL | BCBS OF AL PROVIDER # | 51550445BOW | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518032614 | Ronald Smith Bowen | Dentist | 954 East 7145 South, # B101, Midvale, UT 84047 | 2006-11-22 |
| 1306958764 | Ronald Richard Bowen | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-08-31 |
| 1184698912 | Ronald W. Bowen | Family Medicine | 5656 S Staples St, Suite #250, Corpus Christi, TX 78411-4693 | 2006-02-16 |
| Street Address |
300 GAULT AVE S |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35967-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667622 | Phyliss D. Stout | Clinic/Center | 300 Gault Ave S, Fort Payne, AL 35967-1824 | 2007-01-22 |
| 1922152586 | Randall Eugene Cleckler | Clinic/Center | 300 Gault Ave S, Fort Payne, AL 35968 | 2007-01-22 |
| 1740334358 | Family Life Center, Inc. | Clinic/Center | 300 Gault Ave S, Fort Payne, AL 35967-1824 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086922 | Ft Payne Careplus, LLC | Clinic/Center | 3000 Gault Ave North, Ft Payne, AL 35967 | 2019-01-03 |
| 1851739023 | Marlon Chad Williamson | Emergency Medicine | 617 Gault Ave N, Fort Payne, AL 35967 | 2013-06-11 |
| 1447552401 | Karole Kelley Ohme | Counselor | 216 Gault Avenue N, Relationship Clinic, Fort Payne, AL 35967 | 2010-11-24 |
| 1720112014 | Dekalb County Mr Board | Case Management | 117 First St Nw, Fort Payne, AL 35967 | 2007-03-16 |
| 1447275490 | Glynn Whiddon Odom | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-12 |
| 1477521698 | Michael Ray Parker | Optometrist | 900 Gault Ave S, Fort Payne, AL 35967 | 2006-03-14 |
| 1144204843 | Dale Ray Stierwalt | Family Medicine | 1618 Gault Ave. N., Fort Payne, AL 35967 | 2005-12-06 |
| 1417951112 | Barton Drake Ibsen | Physical Therapist | 121 Drinkard Dr, Fort Payne, AL 35967 | 2005-06-09 |
| 1407363146 | Tyson Scott Rainer | Nurse Practitioner | 1040 Glenn Blvd Sw, Fort Payne, AL 35967 | 2018-01-03 |
| 1801336599 | Caitlin Kirby | Massage Therapist | 216 Gault Ave N, Fort Payne, AL 35967 | 2017-03-01 |
| Find all providers in zip 35967 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667622 | Phyliss D. Stout | Clinic/Center | 300 Gault Ave S, Fort Payne, AL 35967-1824 | 2007-01-22 |
| 1922152586 | Randall Eugene Cleckler | Clinic/Center | 300 Gault Ave S, Fort Payne, AL 35968 | 2007-01-22 |
| 1740334358 | Family Life Center, Inc. | Clinic/Center | 300 Gault Ave S, Fort Payne, AL 35967-1824 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1811505183 | Auburn Therapy Associates LLC | Clinic/Center | 135 Denali Ln, Auburn, AL 36832-5124 | 2020-07-22 |
| 1841826005 | Doran & Associates | Clinic/Center | 221 Eastside Sq, Huntsville, AL 35801-4858 | 2020-03-19 |
| 1518591361 | Next Chapter Counseling Foley LLC | Clinic/Center | 820 N Alston St Ste A, Foley, AL 36535-3510 | 2020-03-02 |
| 1508405069 | The Capstone Rural Health Center | Clinic/Center | 110 Legion Rd Ste B, Double Springs, AL 35553-2365 | 2020-01-02 |
| 1548805328 | Iop Services LLC | Clinic/Center | 100 Centerview Dr Ste 150, Vestavia Hills, AL 35216-3749 | 2019-11-15 |
| 1033751029 | Louise Davis Support Services Industry, Inc. | Clinic/Center | 832 Mccaskill Rd, Dickinson, AL 36436-3643 | 2019-10-11 |
| 1801442082 | Maggie Haag LLC | Clinic/Center | 27625 Us Highway 98 # A, Daphne, AL 36526-4816 | 2019-08-14 |
| 1194238881 | French Town Residential LLC | Clinic/Center | 1000 Avenue W., Birmingham, AL 35214 | 2017-11-16 |
| 1558874149 | Advanced Behavioral Health | Clinic/Center | 300 Clinton Ave W Ste 21, Huntsville, AL 35801-5590 | 2017-11-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT PAYNE |
| Zip Code | 35967 |
Please comment or provide details below to improve the information on MR. RONALD R BOWEN.
| 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.