DR. JACKSON ESTES FOWLER JR.


Address: 1307 Beachview Rd, Annapolis, MD 21403-5007
Phone: 4102681757

DR. JACKSON ESTES FOWLER JR. (NPI# 1134471592) 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) 1134471592
Entity Type Individual
Full Name DR. JACKSON ESTES FOWLER JR.
Credential M.D.
Practice Address 1307 Beachview Rd
Annapolis
MD 21403-5007
Practice Telephone 4102681757
Mailing Telephone 4102681757
Enumeration Date 2012-10-10
Last Update Date 2012-10-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 0101021057 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 1307 BEACHVIEW RD
City ANNAPOLIS
State MD
Zip Code 21403-5007

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1053814384 Medequip Maufacturing. Inc. Durable Medical Equipment & Medical Supplies 301 Fourth Street, Annapolis, MD 21403 2018-03-13
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1932585684 Michael Furno Physical Therapy Assistant 35 Milkshake Lane, Annapolis, MD 21403 2015-08-05
1174948863 Grace Ann Aumiller Occupational Therapy Assistant 180 Admiral Cochrane Drive, Annapolis, MD 21403 2014-03-04
1356787550 Annie K Johnson Family Medicine 1419 Forest Dr. Ste 100, Annapolis, MD 21403 2013-05-14
1750647772 Pauline A Gianoplus Social Worker 786 E Fairview Ave, E, Annapolis, MD 21403 2012-04-03
1962787366 Katherine Sarah Billington Nurse Anesthetist, Certified Registered 534 Burnside Street, Annapolis, MD 21403 2011-10-17
1891979076 Debra Joy Krausman Counselor 1107 Lake Heron Drive, Ta, Annapolis, MD 21403 2007-12-24
1770638785 Mary Lee Zetter Social Worker 610 Harbor Drive, Annapolis, MD 21403 2007-01-23
1154478501 Debra R Taylor Occupational Therapist 1419 Forest Drive, Suite 210, Annapolis, MD 21403 2007-01-05
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336355668 Ronald Kretkowski Urology 2973 Southaven Dr, Annapolis, MD 21401-7104 2007-05-15
1154319549 Kevin Mcgeagh Urology 600 Ridgely Ave Ste 130, Annapolis, MD 21401-1045 2005-10-10
1982608782 John E. Danneberger Urology 600 Ridgely Ave Ste 222, Annapolis, MD 21401-1073 2005-06-09
1699169169 Fei Lian Urology 600 Ridgely Ave Ste 130, Annapolis, MD 21401-1045 2015-03-23
1114339447 Kaitlin Jaqua Urology 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 2014-05-21
1508276734 Troy Anthony Sukhu Urology 600 Ridgely Ave Ste 222, Annapolis, MD 21401-1073 2014-04-28
1831484476 Kari H Bailey Urology 600 Ridgely Ave Ste 130, Annapolis, MD 21401-1045 2011-06-11
1003108549 Shaoqing Zhou Urology 600 Ridgely Ave, Annapolis, MD 21401-1001 2011-05-03
1346476462 Bic Nhu Cung Urology 600 Ridgely Ave, Annapolis, MD 21401-1001 2009-06-03
1629271507 Jiakai Zhu Urology 600 Ridgely Ave, Suite 130, Annapolis, MD 21401-1001 2007-06-07
Find all providers in ANNAPOLIS

Competitor

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City ANNAPOLIS
Zip Code 21403

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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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