DR. MATTHEW WAYNE FOWLKES (NPI# 1376705087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376705087 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WAYNE FOWLKES |
| Credential | D.M.D., M.D. |
| Practice Address |
2003 Forsythe Ave Monroe LA 71201-3608 |
| Practice Telephone | 3183882621 |
| Practice Fax Number | 3183882835 |
| Mailing Telephone | 3183882621 |
| Mailing Fax Number | 3183882835 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2014-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | 3464-08 / OS-481 | MS | Allopathic & Osteopathic Physicians |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 6460 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
2003 FORSYTHE AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71201-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942297734 | Eric Geist | Dentist | 2003 Forsythe Ave, Monroe, LA 71201-3608 | 2005-10-05 |
| 1457578239 | Oral Surgery Associates | Dentist | 2003 Forsythe Ave, Monroe, LA 71201-3608 | 2007-04-20 |
| 1265421374 | Richard Dennis Willis | Dentist | 2003 Forsythe Ave, Monroe, LA 71201-3608 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932414851 | Michael D. Daigle Dds Apc | Oral & Maxillofacial Surgery | 100 Melissa Ln, Houma, LA 70360-4058 | 2010-08-16 |
| 1598927196 | Ashraf R Heram | Oral & Maxillofacial Surgery | 1100 Florida Ave # 220, New Orleans, LA 70119-2714 | 2008-06-26 |
| 1194996637 | Richard Tipery Akin | Oral & Maxillofacial Surgery | 614 Connells Park Ln, Baton Rouge, LA 70806-6534 | 2008-03-12 |
| 1114121639 | Hugo St Hilaire | Oral & Maxillofacial Surgery | 2820 Napoleon Ave Ste 810, New Orleans, LA 70115-8235 | 2007-06-11 |
| 1477630515 | Richard Tipery Akin Dds Md Apc | Oral & Maxillofacial Surgery | 614 Connells Park Lane, Baton Rouge, LA 70806 | 2006-11-01 |
| 1033292008 | Michael Delano Daigle | Oral & Maxillofacial Surgery | 100 Melissa Lane, Houma, LA 70360 | 2006-10-23 |
| 1942391362 | Frank W Harmon | Oral & Maxillofacial Surgery | 2120 Bert Kouns, Suite D, Shreveport, LA 71118 | 2006-09-28 |
| 1508877580 | Ronald B Marks | Oral & Maxillofacial Surgery | 1403 Peterman Drive, Alexandria, LA 71301 | 2006-08-11 |
| 1275513798 | Southpark Community Hospital | Oral & Maxillofacial Surgery | 314 Youngsville Hwy, Lafayette, LA 70508-4524 | 2006-01-19 |
| 1588641096 | Alexandria Oral Surgery Associates LLP | Oral & Maxillofacial Surgery | 1403 Peterman Dr, Alexandria, LA 71301-3433 | 2005-12-27 |
| 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.