Matthew B Bowles (NPI# 1942236948, PAC ID# 0941264410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1942236948 |
| PAC ID by PECOS | 0941264410 |
| Professional Enrollment ID | I20041115000716 |
| Full Name | Matthew B Bowles |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Address |
400 Scruggs Rd Suite 2300 Moneta VA 24121-2683 |
| Phone Number | 5407190424 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6507886231 |
| Number of Group Practice Members | 176 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490048 | LEWISGALE MEDICAL CENTER |
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| Address | Phone | Organization |
|---|---|---|
| 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 | 5407190424 | LEWIS GALE PHYSICIANS LLC |
| 1802 Braeburn Dr, Salem, VA 24153-7357 | 5407723400 | LEWIS GALE PHYSICIANS LLC |
| 1900 Electric Rd, Salem, VA 24153-7474 | LEWIS GALE PHYSICIANS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita I Register | Obstetrics/gynecology | Lewis Gale Physicians LLC | 826 Davis St, Blacksburg, VA 24060-7010 |
| Brent M May | Physician Assistant | Lewis Gale Physicians LLC | 1902 Braeburn Dr, Salem, VA 24153-7304 |
| Vishalakshi K Sundaram | Family Medicine | Lewis Gale Physicians LLC | 4910 Valley View Nwblvd, Roanoke, VA 24012-2040 |
| Patrick William Kenney | Nurse Practitioner | Lewis Gale Physicians LLC | 1940 Braeburn Cir A, Salem, VA 24153-7388 |
| Cemil M Purut | Thoracic Surgery | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Jessica Fultz | Nurse Practitioner | Lewis Gale Physicians LLC | 801 Davis St, Blacksburg, VA 24060-7008 |
| Jeremy Smalley | Orthopedic Surgery | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Teri Pa-c Mccormick-goodha | Physician Assistant | Lewis Gale Physicians LLC | 4550 Lee Hwy, Suite B, Dublin, VA 24084-3820 |
| Kathryn C Hoyt | Physician Assistant | Lewis Gale Physicians LLC | 101 Knotbreak Rd, Salem, VA 24153-5404 |
| Casey R Bowles | Physician Assistant | Lewis Gale Physicians LLC | 4615 Huntridge Rd, Roanoke, VA 24012-8510 |
| Street Address |
400 SCRUGGS RD SUITE 2300 |
| City | MONETA |
| State | VA |
| Zip | 24121-2683 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Smalley | Orthopedic Surgery | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Allison Ryan Mitchell | Physician Assistant | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany A Powell | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Steven T Lewis | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Susan E Funk | Internal Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Bradford T Herlehy | Chiropractic | 70 Scruggs Rd, Suite 106, Moneta, VA 24121-5199 | |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Patricia Z Lloyd | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jennifer E Phillips | Nurse Practitioner | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Patricia H Hayes | Nurse Practitioner | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Virginia L Blanks | Family Medicine | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Kathryn L Sparhawk | Family Medicine | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Find all physicians in zip 24121 | |||
| City | MONETA |
| Zip Code | 24121 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MONETA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.