| Bowen Primary & Urgent Care Pa | |
|
116 3rd St Nw Hickory NC 28601-6137 | |
| (828) 855-1192 | |
| (828) 471-3990 |
| Full Name | Bowen Primary & Urgent Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 116 3rd St Nw, Hickory, North Carolina |
| Authorized Official Name and Position | Stephany Carroll (OFFICE MANAGER) |
| Authorized Official Contact | 8288551192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowen Primary & Urgent Care Pa Po Box 2268 Hickory NC 28603-2268 Ph: (828) 855-1192 | Bowen Primary & Urgent Care Pa 116 3rd St Nw Hickory NC 28601-6137 Ph: (828) 855-1192 |
| NPI Number | 1003956079 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 10/05/2017 |
| Medicare PECOS PAC ID | 6103909098 |
|---|---|
| Medicare Enrollment ID | O20080925000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003956079 | NPI | - | NPPES |
| 8901779 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Primary |
| Provider Name | Dan Radulescu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932367174 PECOS PAC ID: 1052208725 Enrollment ID: I20040228000214 |
| Provider Name | Joy M Ciaccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356326920 PECOS PAC ID: 4486628740 Enrollment ID: I20040823000813 |
| Provider Name | Carolyn Diane Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558393066 PECOS PAC ID: 4082611850 Enrollment ID: I20061109000128 |
| Provider Name | Kelli Ranae Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710071683 PECOS PAC ID: 0446259451 Enrollment ID: I20061220000040 |
| Provider Name | Valarie C Summerow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275859282 PECOS PAC ID: 0446380778 Enrollment ID: I20100614000566 |
| Provider Name | Staci Beth Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487089223 PECOS PAC ID: 1850528621 Enrollment ID: I20131226001393 |
| Provider Name | Leslie Lee King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295128338 PECOS PAC ID: 7113246844 Enrollment ID: I20150501000184 |
| Provider Name | Mirenda Latisa Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801289368 PECOS PAC ID: 2668791393 Enrollment ID: I20150501000204 |
| Provider Name | Michelle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043689664 PECOS PAC ID: 2769782572 Enrollment ID: I20151201001164 |
| Provider Name | Pamela Lynne Schmierer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265897847 PECOS PAC ID: 4082911672 Enrollment ID: I20160325000469 |
| Provider Name | Amy L Delong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184047136 PECOS PAC ID: 4789807496 Enrollment ID: I20160621001637 |
| Provider Name | Saliha G Baloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275087124 PECOS PAC ID: 4587943238 Enrollment ID: I20161121000669 |
| Provider Name | Tiara Bianca Wiley-king |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780247932 PECOS PAC ID: 3173853769 Enrollment ID: I20190924003887 |
| Provider Name | Christine Klema Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972134674 PECOS PAC ID: 8123456845 Enrollment ID: I20200311002360 |
| Provider Name | Ariel H Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366017881 PECOS PAC ID: 7618370289 Enrollment ID: I20210721000299 |
| Provider Name | Amy Elizabeth Cate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033843388 PECOS PAC ID: 9032593322 Enrollment ID: I20220906002092 |
| Provider Name | Wendy Shokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326539966 PECOS PAC ID: 6305216516 Enrollment ID: I20230104002979 |
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