RAYMOND D. FOWLER (NPI# 1104808070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104808070 |
| Entity Type | Individual |
| Full Name | RAYMOND D. FOWLER |
| Credential | M.D. |
| Practice Address |
4300 Bartlett St South Penisula Hospital Homer AK 99603-7005 |
| Mailing Address |
40914 Crested Crane St Homer AK 99603-9465 |
| Practice Telephone | 9072358101 |
| Mailing Telephone | 9072359440 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 30104 | AZ | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 6970A | WY | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | 4624 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD46242 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477735306 | Raymond Paul Fowler | Chiropractor | 555 Sun Valley Dr, Suite G-3, Roswell, GA 30076-5612 | 2007-12-03 |
| 1639138779 | Raymond L Fowler | Emergency Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-18 |
| Street Address |
4300 BARTLETT ST SOUTH PENISULA HOSPITAL |
| City | HOMER |
| State | AK |
| Zip Code | 99603-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229290 | Rachael Brown Kincaid | Nurse Practitioner | 4300 Bartlett St, Homer, AK 99603-7000 | 2020-06-11 |
| 1619521812 | Richard John Kleinleder | Physical Therapy Assistant | 4300 Bartlett St, Homer, AK 99603-7005 | 2019-07-26 |
| 1073167284 | Neil Schott | Physical Therapist | 4300 Bartlett St, Homer, AK 99603 | 2019-07-25 |
| 1366843187 | Valaree Carney | Registered Nurse | 4300 Bartlett St, Homer, AK 99603-7005 | 2014-09-11 |
| 1457751562 | Sandy Kaye Miller | Case Manager/Care Coordinator | 4300 Bartlett St, Homer, AK 99603 | 2014-08-26 |
| 1003248162 | Michelle Hosford | Case Manager/Care Coordinator | 4300 Bartlett St, Homer, AK 99603-7005 | 2013-07-31 |
| 1437433620 | Amy Louise Christiansen | Registered Nurse | 4300 Bartlett St, Attn:a. Christiansen Rn @community Health Services, Homer, AK 99603-7005 | 2011-10-05 |
| 1093968372 | South Peninsula Hospital, Inc | Medicare Defined Swing Bed Unit | 4300 Bartlett St, Homer, AK 99603-7005 | 2008-10-30 |
| 1417117086 | Sarah L Roberts | Family Medicine | 4300 Bartlett St, Homer, AK 99603-7005 | 2008-06-16 |
| 1588874382 | Karen Anne Northrop | Physical Therapist | 4300 Bartlett St, Homer, AK 99603 | 2007-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659748069 | Susitna Anesthesia Associates | Anesthesiology | 1843 Bootlegger Cove Dr, Anchorage, AK 99501-4222 | 2015-09-02 |
| 1366833303 | Geneva Woods Surgical Center Anesthesia, LLC | Anesthesiology | 3730 Rhone Cir Ste 100, Anchorage, AK 99508-5054 | 2015-02-12 |
| 1285058818 | Alaska Anesthesia LLC | Anesthesiology | 9641 Albatross Dr, Anchorage, AK 99502-1684 | 2014-02-18 |
| 1740556992 | Benjamin Grant Ekstrom | Anesthesiology | 2925 Debarr Road St 240, Anchorage, AK 99508-2959 | 2012-03-31 |
| 1952605909 | Robert Gudor Md PC | Anesthesiology | 3100 Admiralty Bay Dr, Anchorage, AK 99515-2403 | 2011-01-05 |
| 1902107584 | Anesthesia Staffing Services, P.C. | Anesthesiology | 17765 Shasta Circle, Eagle River, AK 99577 | 2010-11-12 |
| 1992029441 | Emily Anne Olsen | Anesthesiology | 235 E 8th Ave Ste 210, Anchorage, AK 99501-3656 | 2010-03-25 |
| 1023252087 | Northern Lights Anesthesia LLC | Anesthesiology | 1150 S Colony Way, Palmer, AK 99645-6900 | 2009-04-21 |
| 1891950853 | Phillip T Weidner | Anesthesiology | 4921 Sportsman Dr, Anchorage, AK 99502-4193 | 2008-07-18 |
| 1982898771 | Benjamin D Marvin | Anesthesiology | 2500 South Woodward Loop, Palmer, AK 99645 | 2007-09-05 |
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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.