DR. STACY FOWLER (NPI# 1275549479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275549479 |
| Entity Type | Individual |
| Full Name | DR. STACY FOWLER |
| Credential | DPM |
| Practice Address |
1613 Saint Andrews Dr Mebane NC 27302-7116 |
| Practice Telephone | 3362133910 |
| Mailing Telephone | 3362133910 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
481 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | FIRST HEALTH | 11453384 | 01 |
| NC | BLUE CROSS | 081AJ | 01 |
| NC | 89081AJ | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316474646 | Stacy Michelle Fowler | Dental Hygienist | 4583 Grinde Rd, Lewistown, MT 59457-8043 | 2017-05-17 |
| 1982228722 | Stacy L Fowler | Social Worker | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-06-07 |
| 1871113639 | Stacy Fowler | Nurse Practitioner | 521 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-04-22 |
| Street Address |
1613 SAINT ANDREWS DR |
| City | MEBANE |
| State | NC |
| Zip Code | 27302-7116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389117 | Heather Shelton | Speech-Language Pathologist | 2502 S Nc 119, Mebane, NC 27302 | 2018-09-13 |
| 1538653514 | I.c.a.r.e. Counseling Services, Pllc | Counselor | 106 S Fourth St Ste A, Mebane, NC 27302 | 2018-06-21 |
| 1558860858 | Ridge Care Inc | Custodial Care Facility | 1999 South Highway 119 S, Mebane, NC 27302 | 2018-02-02 |
| 1619496767 | Lindsay Elizabeth Grobman | Physical Therapist | 412 Tighfield Dr, Mebane, NC 27302 | 2017-09-10 |
| 1760911689 | Lane and Associates Xxxi, Dds, Pa | Dentist | 1242 S Fifth St, Mebane, NC 27302 | 2017-06-05 |
| 1386042554 | Alamance Manor Assisted Living LLC | Custodial Care Facility | 1999 South Highway 150, Mebane, NC 27302 | 2014-12-19 |
| 1467850883 | Hope's Highway, Pllc | Social Worker | 105 East Center St., Suite B9, Mebane, NC 27302 | 2014-12-17 |
| 1841639341 | Blankenship Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6207 Paylor Street, Mebane, NC 27302 | 2013-06-18 |
| 1346689171 | Champion Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 507 Blue Lake Drive, Mebane, NC 27302 | 2013-06-14 |
| 1306284195 | Falcon Crest Residential Care | Community/Behavioral Health | 2094 Haith-fuller Trail, Mebane, NC 27302 | 2013-06-13 |
| Find all providers in zip 27302 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720247539 | Slf Podiatry, Pllc | Podiatrist | 1613 St. Andrews Dr., Mebane, NC 27302-7116 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730660200 | Family Foot and Ankle Specialists of The Carolinas Pllc | Podiatrist | 1548 Union Rd Ste D, Gastonia, NC 28054-5530 | 2018-08-23 |
| 1750813978 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 134 Memory Plz, Whiteville, NC 28472-2640 | 2017-03-28 |
| 1730574757 | Active Foot and Ankle of Carolina Pllc | Podiatrist | 1076 Us Highway 17 S, Elizabeth City, NC 27909-7627 | 2015-04-06 |
| 1134466113 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 710 Brookdale Dr, Statesville, NC 28677-3406 | 2013-01-10 |
| 1760702245 | Reagan Buie Parrish | Podiatrist | 302 N 35th St, Morehead City, NC 28557-3106 | 2010-06-07 |
| 1982858874 | Peacock Foot Clinic, PC | Podiatrist | 409 Williams St, Elizabethtown, NC 28337 | 2008-11-05 |
| 1275709677 | Jeffrey B Pupp | Podiatrist | 114 N Norwood St, Wallace, NC 28466-2730 | 2008-05-06 |
| 1205975133 | Robert Alan Klein | Podiatrist | 519 S Van Buren Rd Ste D, Eden, NC 27288-5015 | 2007-02-06 |
| 1952488173 | Matthew M Schlosser | Podiatrist | 86 Victoria Rd Bldg A, Asheville, NC 28801-4449 | 2006-11-01 |
| 1952400806 | Omalley Foot and Ankle Pa | Podiatrist | 1505 Medical Center Dr, Wilmington, NC 28401-7507 | 2006-09-21 |
| Find all providers with the same taxonomy | ||||
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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.