Wyatt Charles Fowler (NPI# 1730287111, PAC ID# 6406972819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1730287111 |
PAC ID by PECOS | 6406972819 |
Professional Enrollment ID | I20100922001293 |
Full Name | Wyatt Charles Fowler |
Organization Legal Name | NOVANT MEDICAL GROUP INC |
Address |
19830 Zion Ave Cornelius NC 28031-8495 |
Phone Number | 7043773900 |
Gender | M |
Graduation Year | 1985 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 1153234893 |
Number of Group Practice Members | 1778 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
340171 | NOVANT HEALTH MATTHEWS MEDICAL CENTER |
340183 | NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
19830 Zion Ave, Cornelius, NC 28031-8495 | 7043773900 | NOVANT MEDICAL GROUP INC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 57% | |
MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 57% | |
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 22% | |
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 22% | |
MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 59% | |
MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 59% | |
MIPS_EC_113_overall | Colorectal Cancer Screening | 50% | |
MIPS_EC_113_overall | Colorectal Cancer Screening | 50% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 34% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 34% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% |
Organization Legal Name | NOVANT MEDICAL GROUP INC |
Physicians | 1795 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
Street Address |
19830 ZION AVE |
City | CORNELIUS |
State | NC |
Zip | 28031-8495 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Melkonian | General Surgery | Novant Medical Group Inc | 19830 Zion Ave, Cornelius, NC 28031-8495 |
Carl Jarrett Lowe Jr. | General Surgery | Novant Medical Group Inc | 19830 Zion Ave, Cornelius, NC 28031-8495 |
Peter Smith Turk | General Surgery | Novant Medical Group Inc | 19830 Zion Ave, Cornelius, NC 28031-8495 |
Ilan D Avin | General Surgery | Novant Medical Group Inc | 19830 Zion Ave, Cornelius, NC 28031-8495 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carol E Armstrong | Psychologist, Clinical | 8211 Village Harbor Dr, Cornelius, NC 28031-3706 | |
Philip J Deluca | Clinical Social Worker | Counseling Associates At The Lake Inc | 19501 W Catawba Ave, Mailbox 10, Cornelius, NC 28031-4017 |
Michelle L Smith | Clinical Social Worker | Counseling Associates At The Lake Inc | 19501 W Catawba Ave, Mailbox 10, Cornelius, NC 28031-4017 |
Lindsey B Mashburn | Obstetrics/gynecology | 19453 W Catawba Ave, Suite A, Cornelius, NC 28031-4022 | |
John J Cipriani | Chiropractic | 19607 W Catawba Ave, Suite 104, Cornelius, NC 28031-4026 | |
Steven D Friedman | Optometry | Myeyedr Optometry of North Carolina Pllc | 19900 W Catawba Ave, Cornelius, NC 28031-4032 |
Donald D Fraser | Dermatology | Piedmont Plastic Surgery and Dermatology Pa | 19900 W Catawba Ave, Suite B, Cornelius, NC 28031-4032 |
Darrell Freeman | Plastic and Reconstructive Surgery | Piedmont Plastic Surgery and Dermatology Pa | 19900 W Catawba Ave, Suite B, Cornelius, NC 28031-4032 |
Jessica J Curtis-yount | Physician Assistant | Piedmont Plastic Surgery and Dermatology Pa | 19900 W Catawba Ave, Suite B, Cornelius, NC 28031-4032 |
Kylee N Sacksteder | Dermatology | Piedmont Plastic Surgery and Dermatology Pa | 19900 W Catawba Ave, Suite B, Cornelius, NC 28031-4032 |
Find all physicians in zip 28031 |
City | CORNELIUS |
Zip Code | 28031 |
Specialty | GENERAL SURGERY |
City + Specialty | CORNELIUS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Wyatt Charles Fowler.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.