DR. STAR VIVIETTE FOWLER (NPI# 1588891782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588891782 |
| Entity Type | Individual |
| Full Name | DR. STAR VIVIETTE FOWLER |
| Credential | D.O. |
| Practice Address |
11750 W 2nd Pl Suite 365 Lakewood CO 80228-1575 |
| Practice Telephone | 7203218280 |
| Practice Fax Number | 7203218281 |
| Mailing Telephone | 7203218280 |
| Mailing Fax Number | 7203218281 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DR.0051309 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 22230025 | 05 |
| Street Address |
11750 W 2ND PL SUITE 365 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647543 | Colorado Professional Medical, Inc | Prosthetic/Orthotic Supplier | 11750 W 2nd Pl, St. Anthony Medical Plaza, Lakewood, CO 80228-1575 | 2005-05-23 |
| 1457718108 | Philip R. Yarnell, M.d., P.C. | Specialist | 11750 W 2nd Pl, Medical Plaza I Suite 255, Lakewood, CO 80228-1575 | 2016-01-26 |
| 1912363755 | Michael Kent Mcdermid | Nurse Practitioner | 11750 W 2nd Pl, Medical Plaza 1 Suite 255, Lakewood, CO 80228-1575 | 2016-01-09 |
| 1164828026 | Catholic Health Initiatives Colorado | Internal Medicine | 11750 W 2nd Pl, Suite 365, Lakewood, CO 80228-1575 | 2014-11-05 |
| 1760806038 | Catholic Health Initiatives Colorado | Neurological Surgery | 11750 W 2nd Pl, Medical Plaza 1, Ste. 255, Lakewood, CO 80228-1575 | 2014-02-07 |
| 1578852042 | Laura Jeanne Friedlander | Psychiatry & Neurology | 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228-1575 | 2011-04-05 |
| 1235462813 | Leon Stor | Physician Assistant | 11750 W 2nd Pl, Suite 255, Lakewood, CO 80228-1575 | 2009-09-14 |
| 1376772624 | Allison Beauneir | Internal Medicine | 11750 W 2nd Pl, Suite 365, Lakewood, CO 80228-1575 | 2009-07-08 |
| 1982869251 | Wesley D. Reynolds | Psychiatry & Neurology | 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228-1575 | 2008-07-25 |
| 1881856342 | Mark M. Murray | Psychiatry & Neurology | 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228-1575 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859014 | Scl Physicians - Rmpc LLC | Internal Medicine | 8585 W 14th Ave Ste B-2, Lakewood, CO 80215-4860 | 2020-07-28 |
| 1972165637 | Bellevue Medical Clinic LLC | Internal Medicine | 8725 S Tacoma Way, Lakewood, WA 98499-4544 | 2019-07-02 |
| 1578031910 | Promed Service Center Inc. | Internal Medicine | 4910 Castana Ave, Lakewood, CA 90712-3234 | 2018-11-04 |
| 1992271597 | Trinity Medical Care | Internal Medicine | 3650 South St Ste 110, Lakewood, CA 90712-1534 | 2018-10-22 |
| 1235646191 | Lake Point Medical Group,llc | Internal Medicine | 15800 Detroit Ave Ste 2a, Lakewood, OH 44107-3748 | 2018-01-01 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1073961710 | Susan S Rupp | Internal Medicine | 1840 S Manor Ln, Lakewood, CO 80232-7144 | 2016-06-02 |
| 1285001610 | Margaret Toth | Internal Medicine | 2217 Woodward Ave, Lakewood, OH 44107-5734 | 2015-09-02 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1871865287 | Sam W. Abdelmelek,md,inc. | Internal Medicine | 5750 Downey Ave Ste 201, Lakewood, CA 90712-1468 | 2012-01-31 |
| Find all providers in LAKEWOOD | ||||
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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.