MR. STEPHEN J. BOWMAN SR. (NPI# 1851303804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851303804 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN J. BOWMAN SR. |
| Credential | PA |
| Practice Address |
4707 Greenleaf Ct Modesto CA 95356-8733 |
| Practice Telephone | 2093381550 |
| Practice Fax Number | 2098469372 |
| Mailing Telephone | 2093381550 |
| Mailing Fax Number | 2098469372 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11908 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11908 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA11908 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033638275 | Stephen Douglas Bowman | Peer Specialist | 1115 Farlow St, Springfield, OH 45503-4337 | 2017-09-19 |
| Street Address |
4707 GREENLEAF CT |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-8733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487662631 | Clair L. Pettinger | Emergency Medicine | 4707 Greenleaf Ct, Suite A, Modesto, CA 95356-8733 | 2006-08-04 |
| 1841776572 | Golden Valley Health Center | Clinic/Center | 4707 Greenleaf Ct, Modesto, CA 95356-8733 | 2018-07-16 |
| 1619223062 | Greenleaf Management | Clinic/Center | 4707 Greenleaf Ct, Suite A, Modesto, CA 95356-8733 | 2012-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| 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 |
|---|---|---|---|---|
| 1609330109 | Daniel Antonio Villagran-gonzalez | Physician Assistant | 1401 Spanos Ct Ste 130, Modesto, CA 95355-2815 | 2019-01-29 |
| 1255823191 | Laura Lee Ruby Goen | Physician Assistant | 3105 Mchenry Ave Ste 10, Modesto, CA 95350-1439 | 2018-06-06 |
| 1679086755 | Danielle B Deen | Physician Assistant | 1541 Florida Ave Ste 100, Modesto, CA 95350-4438 | 2017-11-10 |
| 1598292724 | Todd Brooks | Physician Assistant | 1800 Coffee Rd Ste 30, Modesto, CA 95355-2700 | 2017-05-18 |
| 1205240660 | David Zarate Rojas | Physician Assistant | 405 Mid Pines Way, Modesto, CA 95354-3378 | 2014-06-13 |
| 1194151704 | Harinder Jhatu | Physician Assistant | 2218 W Whitmore Ave, Modesto, CA 95358-9497 | 2013-09-16 |
| 1902191489 | Heather Marie Clayton-young | Physician Assistant | 3509 Coffee Rd Ste D3, Modesto, CA 95355-1357 | 2011-06-13 |
| 1457553885 | Michael Tannenbaum | Physician Assistant | 1808 Scenic Dr, Apt 107, Modesto, CA 95355 | 2007-06-05 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1942378583 | Karen Fields | Physician Assistant | Valley Wound Healing Center, 4335a Nstarway, Modesto, CA 95356 | 2006-12-01 |
| Find all providers in MODESTO | ||||
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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.