DR. MILTON A FOWLER JR. (NPI# 1306803903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306803903 |
| Entity Type | Individual |
| Full Name | DR. MILTON A FOWLER JR. |
| Credential | MD |
| Practice Address |
5808 W 110th St Attn: Cms Urgent Care Center Overland Park KS 66211-2504 |
| Practice Telephone | 9136968228 |
| Mailing Telephone | 9136968228 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
0426380 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679585137 | Milton G. Fowler | Internal Medicine | 44 S Main St, Randolph, VT 05060-1381 | 2006-08-13 |
| Street Address |
5808 W 110TH ST ATTN: CMS URGENT CARE CENTER |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779906 | Angela J Croom | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2005-12-01 |
| 1619502473 | David Vanderhofe | Social Worker | 5808 W 110th St, Overland Park, KS 66211-2504 | 2020-03-11 |
| 1366095283 | Kimberly Renee Periman | Nurse Practitioner | 5808 W 110th St, Overland Park, KS 66211-2504 | 2019-07-19 |
| 1912461997 | Taryn Gort | Registered Nurse | 5808 W 110th St, Overland Park, KS 66211-2504 | 2019-01-24 |
| 1407325186 | Caley Jo Dykstra | Nurse Practitioner | 5808 W 110th St, Overland Park, KS 66211 | 2018-11-25 |
| 1881182723 | Erika O Kokoruda | Social Worker | 5808 W 110th St, Overland Park, KS 66211-2504 | 2018-04-26 |
| 1720524846 | Childrens Mercy Hospital | Pharmacy | 5808 W 110th St, Overland Park, KS 66211-2504 | 2017-01-12 |
| 1689129991 | Linda Ahmu | Dietitian, Registered | 5808 W 110th St, Overland Park, KS 66211-2504 | 2016-08-17 |
| 1952715427 | Margaret Koos | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-06-12 |
| 1376954461 | Amornluck Krasaelap | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477916617 | Sarah Zuk | Emergency Medicine | 2000 Olathe Blvd., Mailstop 4004, Kansas City, KS 66160 | 2016-04-04 |
| 1477096097 | Carepoint Emergency Medicine Kansas LLC | Emergency Medicine | 550 N Hillside St, Wichita, KS 67214-4910 | 2016-11-30 |
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.