SLATER BENJAMIN LOWRY (NPI# 1619048204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619048204 |
| Entity Type | Individual |
| Full Name | SLATER BENJAMIN LOWRY |
| Credential | M.D. |
| Practice Address |
362 Park Creek Drive Columbus MS 39705-1324 |
| Mailing Address |
362 Park Creek Dr Columbus MS 39705-1326 |
| Practice Telephone | 6622448864 |
| Practice Fax Number | 6622448874 |
| Mailing Telephone | 6622448864 |
| Mailing Fax Number | 6622448874 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 00013753 | AL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 11050 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MS LICENSE # | 11050 | 01 |
| MS | TAX ID | 640933050 | 01 |
| MS | CLIA | 25D0981538 | 01 |
| MS | 00119201 | 05 | |
| AL | ALABAMA LICENSE # | 73003895 | 01 |
| Street Address |
362 PARK CREEK DRIVE |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922371442 | Lowry Medical Clinic | Clinic/Center | 362 Park Creek Drive, Columbus, MS 39705 | 2012-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| 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 |
|---|---|---|---|---|
| 1023577319 | Shilpa Sridhar | Internal Medicine | 720 W 3rd Ave Apt 335, Columbus, OH 43212-3162 | 2019-03-15 |
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1174051809 | Melissa Christine Kander | Internal Medicine | 4830 Knightsbridge Blvd Ste A, Columbus, OH 43214-2300 | 2017-05-25 |
| 1831623115 | Sumiya Ahmed | Internal Medicine | 23203 Columbus Rd Ste I, Columbus, NJ 08022-1985 | 2017-04-13 |
| 1699209023 | Karenpreet Brar | Internal Medicine | 4310 Clime Rd Ste A, Columbus, OH 43228-3496 | 2017-04-12 |
| 1194173864 | Nishant Dagli | Internal Medicine | 50 N Wilson Rd, Columbus, OH 43204-1214 | 2016-06-02 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1013379080 | Melissa Lau | Internal Medicine | 395 W 12th Avenue, Third Floor, Columbus, OH 43210-1240 | 2016-03-28 |
| 1285096453 | Katherine Frances Ernst | Internal Medicine | 1405 S High St, Osu/nch Internal Medicine-pediatric Residency Program, Columbus, OH 43207-1043 | 2016-03-25 |
| Find all providers in COLUMBUS | ||||
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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.