CHERYL R. FOWLER (NPI# 1124367214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124367214 |
| Entity Type | Individual |
| Full Name | CHERYL R. FOWLER |
| Credential | PA-C |
| Practice Address |
199 S Candy Ln Suite 1a Cottonwood AZ 86326-4183 |
| Mailing Address |
1200 N Beaver St Payer Credentialing Flagstaff AZ 86001-3118 |
| Practice Telephone | 9286497969 |
| Practice Fax Number | 9286497921 |
| Mailing Telephone | 9282136235 |
| Mailing Fax Number | 9282136292 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5344 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 789677 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1518030287 | Cheryl W Fowler | Physical Therapist | 12127 State Highway 14 N Ste B3, Cedar Crest, NM 87008-9462 | 2006-11-17 |
| Street Address |
199 S CANDY LN SUITE 1A |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609862093 | Leon A Pontikes | Surgery | 199 S Candy Ln, Suite 1a, Cottonwood, AZ 86326-4183 | 2005-09-21 |
| 1093149320 | Jason Wesley Fornara | Optometrist | 199 S Candy Ln, Suite #2, Cottonwood, AZ 86326-4183 | 2013-08-22 |
| 1295938207 | Fornara Eye Center P.C. | Optometrist | 199 S Candy Ln, 2a, Cottonwood, AZ 86326-4183 | 2007-06-07 |
| 1013037951 | Family Health Providers, Ltd. | Family Medicine | 199 S Candy Ln, Ste. 1a, Cottonwood, AZ 86326-4183 | 2007-03-31 |
| 1093801656 | David Herald | Dentist | 199 S Candy Ln, Suite 4-a, Cottonwood, AZ 86326-4183 | 2006-10-04 |
| 1336231653 | John David Fornara | Optometrist | 199 S Candy Ln, Suite 2a, Cottonwood, AZ 86326-4183 | 2006-09-28 |
| 1326000894 | Hu Al Blake II | Surgery | 199 S Candy Ln, Suite 1a, Cottonwood, AZ 86326-4183 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023196284 | Steven Herrman | Physician Assistant | 651 W Mingus Ave Ste 1f, Cottonwood, AZ 86326-4006 | 2006-11-02 |
| 1629047931 | John Douglas Trueblood | Physician Assistant | 701 Lewiston Street, Cottonwood, ID 83522 | 2006-03-17 |
| 1891783338 | Robert Nordman | Physician Assistant | 8 E Cottonwood St Bldg C, Verde Valley Guidance Clinic, Cottonwood, AZ 86326-6237 | 2005-10-10 |
| 1326290057 | Kaia Kordosky-herrera | Physician Assistant | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-10-13 |
| 1427275833 | Alexander Jonusas | Physician Assistant | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2007-04-19 |
| 1922018027 | Andrea Krogh | Physician Assistant | 701 Lewiston Street, Cottonwood, ID 83522-0565 | 2006-08-09 |
| 1225052566 | Carrie Heisinger | Physician Assistant | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2006-07-27 |
| 1801847926 | Robert J Murphy | Physician Assistant | 450 S Willard St, Ste 120, Cottonwood, AZ 86326-6743 | 2006-05-13 |
| 1528040482 | Daniel G Dudziak | Physician Assistant | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2005-11-16 |
| 1053306241 | Roxann G Lafferty | Physician Assistant | 450 S Willard St, Ste. 120, Cottonwood, AZ 86326-6743 | 2005-09-14 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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| 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.