=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316930621
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARCIA C BOWLING MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/23/2005
-----------------------------------------------------
Last Update Date | 02/14/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 71 E HOLLISTER ST
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45219-1703
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-751-2273
-----------------------------------------------------
Fax | 513-751-1840
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5053 WOOSTER RD
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45226-2326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-751-2145
-----------------------------------------------------
Fax | 513-751-2138
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 30098
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 35054486
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------