Jon R Bowen (NPI# 1093929036, PAC ID# 5991871204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093929036 |
| PAC ID by PECOS | 5991871204 |
| Professional Enrollment ID | I20080911000192 |
| Full Name | Jon R Bowen |
| Organization Legal Name | RURAL HEALTH ACCESS CORPORATION |
| Address |
386 Airport Rd Chapmanville WV 25508-9202 |
| Phone Number | 3048551200 |
| Gender | M |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2668528746 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511313 | BOONE MEMORIAL HOSPITAL |
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| 510055 | CABELL HUNTINGTON HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 386 Airport Rd, Chapmanville, WV 25508-9202 | 3048551200 | RURAL HEALTH ACCESS CORPORATION |
| Organization Legal Name | RURAL HEALTH ACCESS CORPORATION |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda E Hinkle | Nurse Practitioner | Rural Health Access Corporation | 386 Airport Rd, Chapmanville, WV 25508-9202 |
| Anitra M Ellis | Nurse Practitioner | Rural Health Access Corporation | 386 Airport Rd, Chapmanville, WV 25508-9202 |
| Street Address |
386 AIRPORT RD |
| City | CHAPMANVILLE |
| State | WV |
| Zip | 25508-9202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda E Hinkle | Nurse Practitioner | Rural Health Access Corporation | 386 Airport Rd, Chapmanville, WV 25508-9202 |
| Anitra M Ellis | Nurse Practitioner | Rural Health Access Corporation | 386 Airport Rd, Chapmanville, WV 25508-9202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick M Ellis | Physical Therapy | Southern West Virginia Physical Therapy | 80 Friendly Neighbor Dr, Suite E, Chapmanville, WV 25508 |
| Stephan A Ball | Physical Therapy | Southern West Virginia Physical Therapy | 80 Friendly Neighbor Dr, Suite E, Chapmanville, WV 25508 |
| Martin L Codispoti | Nurse Practitioner | Chapmanville Primary Care Clinic | 462 Main St, Chapmanville, WV 25508-4574 |
| Livia N Cabauatan | General Practice | Chapmanville Primary Care Clinic | 462 Main St, Chapmanville, WV 25508-4574 |
| Rafael Modesto Rodighiero | Physician Assistant | Chapmanville Primary Care Clinic | 462 Main St, Chapmanville, WV 25508-4574 |
| Derek Dalton | Physical Therapy | 560 S Main St, Chapmanville, WV 25508-5001 | |
| Tomas E Vigo Paredes | Family Medicine | 40 Shae Ave, Chapmanville, WV 25508-9805 | |
| Carleton J Wood | Optometry | 101 S Main St, Chapmanville, WV 25508-9999 |
| City | CHAPMANVILLE |
| Zip Code | 25508 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHAPMANVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jon 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.