PAMELA JO FOWLER (NPI# 1568633022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568633022 |
| Entity Type | Individual |
| Full Name | PAMELA JO FOWLER |
| Credential | CRNA |
| Practice Address |
2510 Lakeland Dr Flowood MS 39232-9513 |
| Practice Telephone | 6013551234 |
| Practice Fax Number | 6013263559 |
| Mailing Telephone | 6013551234 |
| Mailing Fax Number | 6013263559 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R593044 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04825050 | 05 | |
| MS | RR MEDICARE | P00872456 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467708867 | Pamela Gene Fowler | Behavioral Analyst | 1760 Bass Rd Ste 102, Macon, GA 31210 | 2012-08-03 |
| 1578818324 | Pamela Fowler | Specialist | 3175 E Tremont Ave Fl 2, Bronx, NY 10461-5700 | 2012-07-18 |
| Street Address |
2510 LAKELAND DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884234 | Samuel D Hensley | Pathology | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2005-10-10 |
| 1144872359 | Rebecca Sandifer Walker | Dietitian, Registered | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2019-07-09 |
| 1982103198 | Alexandra Tirrell Hobbs | Registered Nurse | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2018-02-03 |
| 1982122552 | Sheena Renell Smith Smoot | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2017-09-05 |
| 1245776343 | Wren Nightengale Vines | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2017-01-12 |
| 1093260150 | Rachael Cade Stegall | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2016-08-18 |
| 1477909596 | Rachel F Dickerson | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2016-05-07 |
| 1841698792 | Audrey Leigh Upchurch | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2014-12-09 |
| 1124468061 | Brittany O'steen Morrow | Nurse Anesthetist, Certified Registered | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2013-06-25 |
| 1407115397 | Jason Kyle Jones | Pathology | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2012-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174095749 | Emily E Randle | Nurse Anesthetist, Certified Registered | 3900 Lakeland Dr Ste 505c, Flowood, MS 39232-8854 | 2018-12-20 |
| 1811269418 | Candi Marie Ferriss | Nurse Anesthetist, Certified Registered | 725 Baytree Dr, Flowood, MS 39232 | 2012-01-30 |
| 1255480489 | Lauren B Montgomery | Nurse Anesthetist, Certified Registered | 2550 Flowood Dr Ste 400, Flowood, MS 39232-9307 | 2007-01-09 |
| 1972564797 | Jill P Silvey | Nurse Anesthetist, Certified Registered | 1030 River Oaks Drive, Anesthesia, Flowood, MS 39232 | 2006-03-31 |
| 1932189628 | Larry D Stephens Jr. | Nurse Anesthetist, Certified Registered | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2006-01-19 |
| 1063071462 | Aimee Renaudin | Nurse Anesthetist, Certified Registered | 1030 River Oaks Drive, Flowood, MS 39232 | 2019-06-10 |
| 1578920450 | Anna Walters | Nurse Anesthetist, Certified Registered | 2550 Flowood Dr, Suite 400, Flowood, MS 39232-9303 | 2016-01-22 |
| 1588032981 | Jane Mcgeown | Nurse Anesthetist, Certified Registered | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2015-09-02 |
| 1164832408 | Lacey W Whittington | Nurse Anesthetist, Certified Registered | 1026 N Flowood Dr, Flowood, MS 39232-9532 | 2014-05-07 |
| 1124468061 | Brittany O'steen Morrow | Nurse Anesthetist, Certified Registered | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2013-06-25 |
| Find all providers in FLOWOOD | ||||
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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.