CODY FOWLER (NPI# 1386018950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386018950 |
| Entity Type | Individual |
| Full Name | CODY FOWLER |
| Credential | P.A.-C |
| Practice Address |
3345 Potomac Way Idaho Falls ID 83404-4978 |
| Practice Telephone | 2085526210 |
| Practice Fax Number | 2085522027 |
| Mailing Telephone | 2085526210 |
| Mailing Fax Number | 2085522027 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-1326 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841780095 | Cody Marshal Fowler | Case Manager/Care Coordinator | 42 County Center Dr, Oroville, CA 95965-3335 | 2018-05-14 |
| 1073944096 | Cody Fowler | Chiropractor | 51 University Ave, Suite K, Los Gatos, CA 95030-6037 | 2013-12-01 |
| Street Address |
3345 POTOMAC WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-4978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780679126 | Clark Hunter Allen | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2005-09-13 |
| 1538664651 | M'kenzi Ann Jenkins | Massage Therapist | 3345 Potomac Way, Idaho Falls, ID 83404-4978 | 2018-03-29 |
| 1720581465 | Lora Robinson | Nurse Practitioner | 3345 Potomac Way, Idaho Falls, ID 83404-4978 | 2018-03-08 |
| 1750787297 | Idaho Neurosurgery & Spine Pllc | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2014-11-11 |
| 1538577473 | Elliot Huntsman | Nurse Practitioner | 3345 Potomac Way, Idaho Falls, ID 83404 | 2014-07-23 |
| 1124460373 | Anna L. Zobell | Registered Nurse | 3345 Potomac Way, Idaho Falls, ID 83404 | 2013-07-29 |
| 1457606279 | John D Dickinson | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2012-07-18 |
| 1295942142 | Brandon Reyes Kelly | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831647197 | Nicholas Hensley | Physician Assistant | 3155 Channing Way Ste B, Idaho Falls, ID 83404-7534 | 2016-09-15 |
| 1033581269 | Jason John Overocker | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2015-10-27 |
| 1477992592 | Stanford Benjamin Gammon | Physician Assistant | 3200 Channing Way Ste 205a, Idaho Falls, ID 83404-7586 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218089 | Michael Keegan Huntsman | Physician Assistant | 730 Aspen Ave, Shelley, ID 83274-1400 | 2020-06-03 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1982937066 | Don H Curtis | Physician Assistant | 348 W Bloomington Dr, Meridian, ID 83642-6942 | 2009-09-08 |
| 1801073655 | Tracy D. Mickelsen | Physician Assistant | 3015 E Magic View Dr, Meridian, ID 83642-3743 | 2008-01-23 |
| 1356437172 | Clare Elizabeth York | Physician Assistant | 805 Main St., Salmon, ID 83467 | 2006-10-05 |
| 1891707618 | Brian Keith Lachapelle | Physician Assistant | 6140 W Curtisan, Ste 102, Boise, ID 83704 | 2006-08-12 |
| 1992743215 | Bill Stahlberg | Physician Assistant | 211 Forest St, Mccall, ID 83638-5256 | 2006-06-02 |
| 1780641530 | Alicia R Borst | Physician Assistant | 3960 W. Wainwright, Boise, ID 83713 | 2006-04-26 |
| 1275047409 | Alexx Sliman | Physician Assistant | 425 Idaho St, Gooding, ID 83330-1258 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on CODY FOWLER.
| 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.