DR. MARIECKEN FOWLER (NPI# 1548200116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548200116 |
| Entity Type | Individual |
| Full Name | DR. MARIECKEN FOWLER |
| Credential | MD |
| Practice Address |
125 Medical Cir Suite A Winchester VA 22601-3300 |
| Practice Telephone | 5406671828 |
| Practice Fax Number | 5406671828 |
| Mailing Telephone | 5406671828 |
| Mailing Fax Number | 5406671828 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20637 | NH | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101238278 | VA | Allopathic & Osteopathic Physicians |
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
0101238278 | VA | Allopathic & Osteopathic Physicians |
| N | 2084D0003X |
Psychiatry & Neurology Specialization: Diagnostic Neuroimaging |
0101238278 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 196654 | 01 |
| VA | 010214851 | 05 | |
| VA | RAILROAD MEDICARE | P00349159 | 01 |
| VA | MOUNTAIN STATE BCBS | 001854467 | 01 |
| Street Address |
125 MEDICAL CIR SUITE A |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22601-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028119 | Katherine Hawkins Gustin | Psychiatry & Neurology | 125 Medical Cir, Winchester, VA 22601-3300 | 2006-01-19 |
| 1518363712 | Jaclyn Grove | Nurse Practitioner | 125 Medical Cir, Winchester, VA 22601-3322 | 2014-11-14 |
| 1508123365 | Dawnya Rinker Finerfrock | Nurse Practitioner | 125 Medical Cir, Winchester, VA 22601-3322 | 2012-04-18 |
| 1649434317 | Dan-victor Giurgiutiu | Psychiatry & Neurology | 125 Medical Cir, Suite A, Winchester, VA 22601-3322 | 2008-07-11 |
| 1740205822 | John C Henry | Psychiatry & Neurology | 125 Medical Cir, Winchester, VA 22601-3322 | 2006-07-12 |
| 1205862869 | John Y Choi | Psychiatry & Neurology | 125 Medical Cir, Ste A, Winchester, VA 22601-3300 | 2006-06-24 |
| 1992775902 | Neil Ward Crowe | Psychiatry & Neurology | 125 Medical Cir, Suite A, Winchester, VA 22601-3300 | 2006-01-23 |
| 1407836299 | Patrick M Capone | Psychiatry & Neurology | 125 Medical Cir, Suite A, Winchester, VA 22601-3300 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1437713542 | Ann Marie Aldrich | Nurse Practitioner | 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 | 2019-04-24 |
| 1023570678 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 | 2019-04-03 |
| 1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
| 1043728272 | Emily Anne Griffin | Registered Nurse | 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 | 2018-01-23 |
| 1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
| 1558800391 | Heather Leach | Counselor | 116 Piccadilly Street, Suite 12, Winchester, VA 22601 | 2017-02-13 |
| 1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
| 1568830958 | Megan Mcintyre | Physical Therapist | 3052 Valley Ave Ste 101, Winchester, VA 22601 | 2015-09-02 |
| 1093195299 | Sara Elizabeth Archetti | Speech-Language Pathologist | Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 | 2015-06-02 |
| Find all providers in zip 22601 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396896742 | Aleksandr V. Mogilevski | Psychiatry & Neurology | 128 Professional Ave, Winchester, KY 40391-1116 | 2007-01-14 |
| 1083656250 | Paul D Lyons | Psychiatry & Neurology | 125a Medical Cir, Winchester, VA 22601-3322 | 2006-06-12 |
| 1326028119 | Katherine Hawkins Gustin | Psychiatry & Neurology | 125 Medical Cir, Winchester, VA 22601-3300 | 2006-01-19 |
| 1194348441 | Valley Physician Enterprise, Inc. | Psychiatry & Neurology | 125 Medical Cir Ste A, Winchester, VA 22601-3322 | 2020-05-21 |
| 1922436195 | Amg - Southern Tennessee, LLC | Psychiatry & Neurology | 66 Sunrise Park, Winchester, TN 37398-2345 | 2013-10-24 |
| 1457610792 | Habibullah Ziayee | Psychiatry & Neurology | 125a Medical Cir, Winchester, VA 22601-3322 | 2012-05-07 |
| 1194958488 | Kit Mui | Psychiatry & Neurology | 41 Highland Ave, Winchester, MA 01890-1446 | 2009-09-02 |
| 1649434317 | Dan-victor Giurgiutiu | Psychiatry & Neurology | 125 Medical Cir, Suite A, Winchester, VA 22601-3322 | 2008-07-11 |
| 1366624231 | Sairah Bashir | Psychiatry & Neurology | 125a Medical Cir, Winchester, VA 22601-3322 | 2007-12-03 |
| 1730368192 | Winchester Neurology,psc | Psychiatry & Neurology | 128 Professional Ave, Winchester, KY 40391-1116 | 2007-11-01 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 22601 |
Please comment or provide details below to improve the information on DR. MARIECKEN 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.