HAROLD J. BOWERSOX, D.O., INC – NPI #1174611453
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

HAROLD J. BOWERSOX, D.O., INC is a provider located in WILLOUGHBY HILLS, OH. NPPES has assigned the NPI number 1174611453 to HAROLD J. BOWERSOX, D.O., INC on October 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 19 years ago on Nov 30, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAROLD J. BOWERSOX, D.O., INC below.

NPI Profile for
HAROLD J. BOWERSOX, D.O., INC

NPI Number
1174611453
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HAROLD J. BOWERSOX, D.O., INC
Primary location
34950 CHARDON ROAD
SUITE 206
WILLOUGHBY HILLS, OH 44094
Phone: (440) 602-7700 Fax: (440) 602-9540
Mailing address
34950 CHARDON RD
SUITE 206
WILLOUGHBY, OH 44094-9162
Phone: (440) 602-7700 Fax: (440) 602-9540
Organization Subpart
No
Authorized Official
HAROLD BOWERSOX
PHYSICIAN
Phone: (440) 602-7700
Updated
Identifiers

Identifiers for HAROLD J. BOWERSOX, D.O., INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2731422
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.