SCOTT FOWLER (NPI# 1386197697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386197697 |
| Entity Type | Individual |
| Full Name | SCOTT FOWLER |
| Practice Address |
117 S 11th Ave Laurel MS 39440-4312 |
| Mailing Address |
1093 Naquin Rd Purvis MS 39475-6051 |
| Practice Telephone | 6014253033 |
| Practice Fax Number | 6014220431 |
| Mailing Telephone | 6015203982 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
901535 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457656902 | Scott Darron Fowler | Physician Assistant | 155 Legends Drive, Suite I, Lebanon, TN 37087 | 2011-01-13 |
| 1093149353 | Scott Fowler | Acupuncturist | 3636 5th Ave, San Diego, CA 92103-4281 | 2013-08-22 |
| 1215204755 | Scott David Fowler | Physician Assistant | 9119 Mil Park Ave, Tacoma, WA 98433 | 2011-11-29 |
| 1598088445 | Scott J Fowler | Nurse Anesthetist, Certified Registered | 8212 Summa Ave, Baton Rouge, LA 70809-3421 | 2010-03-07 |
| 1629233119 | Scott M Fowler | Family Medicine | 3031 Plank Rd, Fredericksburg, VA 22401-4951 | 2008-07-23 |
| 1952563892 | Scott J. Fowler | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2008-07-01 |
| 1962415836 | Scott Matthew Fowler | Counselor | 780 Pilot House Dr, Suite 100a, Newport News, VA 23606-1993 | 2006-08-14 |
| 1073516886 | Scott Fowler | Obstetrics & Gynecology | 105 W Stone Dr, Ste 2b, Kingsport, TN 37660-3256 | 2005-05-24 |
| Street Address |
117 S 11TH AVE |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195536 | Gayla B. Glenn | Dietitian, Registered | 117 S 11th Ave, Laurel, MS 39440-4312 | 2005-06-27 |
| 1932739034 | Family Health Center, Inc. | Bus | 117 S 11th Ave, Laurel, MS 39440-4312 | 2020-01-17 |
| 1508406802 | Jessica Lynn Anderson | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2020-01-14 |
| 1093373110 | Sarah Nicole Thames | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2019-06-04 |
| 1477919603 | Family Health Center, Inc. | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-01-04 |
| 1649666744 | Sheree Lamara Conley-donaldson | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1548656614 | Lashundra Shanett Speights | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1245648104 | Casey Herrington | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2014-07-23 |
| 1497187512 | Felicia Keys | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-07-31 |
| 1780927442 | Ladonna Michelle Phillips | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013426329 | Fig Leaf, LLC | Nurse Practitioner | 171 South St, Caledonia, MS 39740 | 2017-09-29 |
| 1831329887 | Charleston Clinic | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2009-07-23 |
| 1568598027 | Ericka M Micou | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2007-02-26 |
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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.