Provider Demographics
NPI:1336207828
Name:WALTER T. BOWERS,M.D.,INC
Entity Type:Organization
Organization Name:WALTER T. BOWERS,M.D.,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:T
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:513-381-6161
Mailing Address - Street 1:3131 HARVEY AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3000
Mailing Address - Country:US
Mailing Address - Phone:513-381-6161
Mailing Address - Fax:513-381-6171
Practice Address - Street 1:3131 HARVEY AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3000
Practice Address - Country:US
Practice Address - Phone:513-381-6161
Practice Address - Fax:513-381-6171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0394149Medicaid
OH0394149Medicaid