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CAROL PATRICIA ROBERTINE BOWEN-WELLS MD NPI 1174710982


NPI Information

NPI: 1174710982
Provider Name: CAROL PATRICIA ROBERTINE BOWEN-WELLS, MD
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

PECOS Registration: Yes

Address:
3 SHIRCLIFF WAY
SUITE 630
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 281-5878
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Carol Patricia Robertine Bowen-wells, MD is a surgical oncology surgery in Jacksonville, FL with 27 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Carol Patricia Robertine Bowen-wells, MD NPI is 1174710982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 SHIRCLIFF WAY
SUITE 630
JACKSONVILLE, FL
ZIP 32204-776
Phone: (904) 281-5878
Fax: (904) 645-5856

The NPI 1174710982 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) (HCPCS:15271)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 9/26/2007 and was last updated on 3/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery41473KENTUCKYNo
22086X0206XSurgerySurgical Oncology41473KENTUCKYNo
32086X0206XSurgerySurgical OncologyME104932FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
137903705OTHERKENTUCKYMEDICAID LAB GROUP
24000501OTHERKENTUCKYMEDICARE LAB GROUP
3CI656ZMEDICARE PINFLORIDA
40092728MEDICARE PINKENTUCKY
50013091-00MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.