GRADY FOWLER


Address: 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613
Phone: 5052912200

GRADY FOWLER (NPI# 1033756887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033756887
Entity Type Individual
Full Name GRADY FOWLER
Practice Address 8300 Constitution Ave Ne
Albuquerque
NM 87110-7613
Practice Telephone 5052912200
Enumeration Date 2019-11-27
Last Update Date 2019-11-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8300 CONSTITUTION AVE NE
City ALBUQUERQUE
State NM
Zip Code 87110-7613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386641876 Mahmood Reza Zamanian Internal Medicine 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2005-06-30
1972123511 Kate Marcus Occupational Therapist 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2020-04-23
1306498860 Carly Pecoriello Nowicki Nurse Practitioner 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2019-07-15
1255806543 Donna Renee Whalen Nurse Practitioner 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2018-10-12
1972003119 Whitney Wyers Nurse Practitioner 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2018-02-14
1215436050 Joanne Elaine Greer Nurse Practitioner 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2018-02-07
1447759659 Monica Nmi Martinez Nurse Practitioner 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2018-02-03
1386142792 Jenny Pilkey Nurse Practitioner 8300 Constitution Ave Ne, Albuquerque, NM 87110 2018-01-31
1215443130 Andrea E Owens Nurse Practitioner 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2017-12-15
1083151534 Sarah Knowlton Dietitian, Registered 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 2017-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215550199 Sabrina Jennifer Lujan Counselor 8401 Constitution Ave Nw, Albuquerque, NM 87110 2020-05-26
1649829318 Robert D. Oliver Technician 2705 Texas Street Ne, Albuquerque, NM 87110 2019-09-05
1033770904 Life Re-created LLC Counselor 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 2019-06-21
1497319693 Clear Choice Vision Care, LLC Optometrist 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 2019-04-24
1790257558 Diana M Nicolas Dietitian, Registered 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 2018-12-18
1689168403 Robin N Hermes, Md, PC Anesthesiology 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 2018-06-15
1710481726 Desert Mountain Eyecare LLC Optometrist 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 2018-03-23
1659873131 Amanda Lacasse Registered Nurse 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 2018-03-01
1518485655 Danielle Liegh Wyne Counselor 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 2017-09-08
1265957237 Myrrhine Faller Speech-Language Pathologist 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 2017-08-10
Find all providers in zip 87110

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609474550 Mara Swartzentruber Physician Assistant 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 2020-10-13
1336757301 Dailey Doss Physician Assistant Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 2020-07-16
1487287413 Thomas Clise Physician Assistant 629 San Pablo St Ne, Albuquerque, NM 87108-2137 2020-02-18
1912547324 Kathleen Joyce L'heureux Physician Assistant 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 2020-01-14
1265097869 Amber Zoubovitch Physician Assistant 7200 Montgomery Blvd Ne Ste 7121, Albuquerque, NM 87109-1510 2019-05-08
1639680739 Wesley A Parker Physician Assistant 3777 Mdg, 2050a Second Street Se, Albuquerque, NM 87117-5522 2017-10-16
1003327487 Elise Nicole Pedigo Physician Assistant 4700 Jefferson St Ne Ste 700, Albuquerque, NM 87109-2132 2017-10-12
1194170605 Anna Marie Siow Physician Assistant 1014 Hummingbird Pl Sw, Albuquerque, NM 87105-8130 2016-05-03
1285032367 Travis Householder Physician Assistant 201 Cedar St Se Ste 4610, Presbyterian Heart Group, Albuquerque, NM 87106-4936 2014-12-05
1508276973 Stephanie Gonzales Physician Assistant 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 2014-05-06
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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