DR. STEPHANIE MARIE BOUWER (NPI# 1780200485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780200485 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE MARIE BOUWER |
| Credential | DO |
| Practice Address |
1850 E Park Ave Ste 207 State College PA 16803-6706 |
| Practice Telephone | 8142352480 |
| Mailing Telephone | 8142352480 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1850 E PARK AVE STE 207 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467748996 | Christopher Robert Heron | Family Medicine | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2011-06-23 |
| 1134745268 | Lawrence Go | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2020-06-24 |
| 1255957775 | Kyle Szuminski | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2020-06-20 |
| 1730705260 | Andres Alberto Tirado Navales | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2020-06-20 |
| 1548886245 | Ryan Alexander Kipp | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2020-06-18 |
| 1417573163 | Daniel Nathan Abelev | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2020-06-18 |
| 1801459987 | Judy Park Dewitt | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2019-04-15 |
| 1033672571 | Elijah Kamermans | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2019-04-11 |
| 1023570553 | Thomas Tuyen | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2019-04-03 |
| 1033679691 | Karissa Thal | Student in an Organized Health Care Education/Training Program | 1850 E Park Ave Ste 207, State College, PA 16803-6706 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073005112 | Margaret Anne Fields Olivieri | Student in an Organized Health Care Education/Training Program | 524 N Burrowes St Apt 6, State College, PA 16803-3508 | 2018-06-05 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1801328018 | James Magurno IIi | Student in an Organized Health Care Education/Training Program | 536 W College Ave, Apartment 5, State College, PA 16801-3725 | 2017-03-28 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1730534819 | Trevor Scott Beahm | Student in an Organized Health Care Education/Training Program | 406 Candlewood Dr, State College, PA 16803-1248 | 2016-04-26 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1679959258 | Stacey Glumm | Student in an Organized Health Care Education/Training Program | 127 Bryce Jordan Ctr, State College, PA 16802-7101 | 2015-08-05 |
| 1104201037 | James R Wilkes Jr. | Student in an Organized Health Care Education/Training Program | 1518 N Allen St, State College, PA 16803-3013 | 2015-07-21 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
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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.