Kelly Elisha R Bowen (NPI# 1558728568, PAC ID# 5092000612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558728568 |
| PAC ID by PECOS | 5092000612 |
| Professional Enrollment ID | I20160822002136 |
| Full Name | Kelly Elisha R Bowen |
| Organization Legal Name | SOLDIERS AND SAILORS MEMORIAL HOSPITAL |
| Address |
418 N Main St Penn Yan NY 14527-1070 |
| Phone Number | 3155312000 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446164255 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330074 | F F THOMPSON HOSPITAL |
| 330058 | FINGER LAKE HEALTH-GENEVA GENERAL HOSPITAL |
| 331314 | SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES |
| Address | Phone | Organization |
|---|---|---|
| 350 Parrish St, Canandaigua, NY 14424-1731 | 5853966000 | FREDERICK FERRIS THOMPSON HOSPITAL |
| 196 N St, Geneva, NY 14456-1651 | 3157874533 | GENEVA GENERAL HOSPITAL |
| 418 N Main St, Penn Yan, NY 14527-1070 | 3155312000 | SOLDIERS AND SAILORS MEMORIAL HOSPITAL |
| 15 Canandaigua St, Shortsville, NY 14548-9763 | 5852893560 | FREDERICK FERRIS THOMPSON HOSPITAL |
| Organization Legal Name | SOLDIERS AND SAILORS MEMORIAL HOSPITAL |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Ditramontos | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Tamara A Prull | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Jason A Galarneau | Family Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Margaret Mary Ameyaw | Internal Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Dale L Freier Jr. | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Douglas M Sinclair | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Timothy J Malins | Cardiovascular Disease (cardiology) | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Cameron S Scott | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Giancarlo Rondash | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Jonathan Rodriguez | Cardiovascular Disease (cardiology) | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Street Address |
418 N MAIN ST |
| City | PENN YAN |
| State | NY |
| Zip | 14527-1070 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Ditramontos | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Tamara A Prull | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Jason A Galarneau | Family Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Margaret Mary Ameyaw | Internal Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Dale L Freier Jr. | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Douglas M Sinclair | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Timothy J Malins | Cardiovascular Disease (cardiology) | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Cameron S Scott | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Giancarlo Rondash | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Jonathan Rodriguez | Cardiovascular Disease (cardiology) | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Knapp | Occupational Therapy | 1 Kevka Business Park, Suite 201, Penn Yan, NY 14527 | |
| Meredyth R Mcmichael | Chiropractic | 640 Liberty St, Penn Yan, NY 14527-1035 | |
| Stephen F Coleman | Psychologist, Clinical | Yates County Chapter Nysarc Inc | Yates County Chapter Nysar, Arc of Yates Clinic, Penn Yan, NY 14527-1051 |
| Carlene L Chilson | Occupational Therapy | Yates County Chapter Nysarc Inc | Yates County Chapter Nysar, Arc of Yates Clinic, Penn Yan, NY 14527-1051 |
| Leslie L Elliott | Registered Dietitian Or Nutrition Professional | Yates County Chapter Nysarc Inc | Yates County Chapter Nysar, Arc of Yates Clinic, Penn Yan, NY 14527-1051 |
| Doria A Scortichini | Cardiovascular Disease (cardiology) | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Jason S Feinberg | Internal Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Khurram Farooq | Family Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Taryn P Draxler | Internal Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Jillian Geyer | Emergency Medicine | Soldiers and Sailors Memorial Hospital | 418 N Main St, Penn Yan, NY 14527-1070 |
| Find all physicians in zip 14527 | |||
| City | PENN YAN |
| Zip Code | 14527 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PENN YAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly Elisha R Bowen.
| 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.