TODD A FOWLER (NPI# 1154386886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154386886 |
| Entity Type | Individual |
| Full Name | TODD A FOWLER |
| Credential | MD |
| Practice Address |
2410 Susannah St Johnson City TN 37601-1748 |
| Practice Telephone | 4232829011 |
| Practice Fax Number | 4232820035 |
| Mailing Telephone | 4232829011 |
| Mailing Fax Number | 4232820035 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
24265 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3075096 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225530967 | Todd Fowler | Case Manager/Care Coordinator | 420 E South Temple Ste 420, Salt Lake City, UT 84111-1345 | 2018-03-07 |
| 1003986076 | Todd R Fowler | Emergency Medicine | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2006-11-08 |
| 1164468674 | Todd E. Fowler | Otolaryngology | 1724 Hamill Road, Ste 102, Oasis Park Building I, Hixson, TN 37343 | 2006-06-22 |
| Street Address |
2410 SUSANNAH ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346223948 | Joseph R Hurst | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2005-11-28 |
| 1760098669 | Justin Alan Sylvester | Physical Therapy Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-09-17 |
| 1316562549 | Frankie Tidwell | Nurse Practitioner | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-06-12 |
| 1861025744 | Jalen Bridwell | Physical Therapist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2020-02-19 |
| 1336786383 | Andrew Blythe | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-12-09 |
| 1659921294 | Emilee Grace Dishner | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-09-16 |
| 1154889285 | Taylor N Harmon | Physical Therapist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-03-07 |
| 1407329246 | Mariah M Wagner | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2019-01-04 |
| 1497237416 | Micah A Mcfaddin | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1748 | 2018-09-06 |
| 1245720382 | Stephanie Lynn Owen | Specialist/Technologist | 2410 Susannah St, Johnson City, TN 37601-1748 | 2018-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467832444 | Utsav Hanspal | Family Medicine | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936235 | Milligan College | Family Medicine | One Blowers Blvd., Athletics, Milligan College, TN 37682 | 2017-07-31 |
| 1205379989 | Elite Sports Medicine and Orthopaedic Center, Plc | Family Medicine | 356 24th Ave North, Nashville, TN 37203-1519 | 2016-11-29 |
| 1770915928 | Chattanooga Sports Institute | Family Medicine | 4206 N Access Rd, Chattanooga, TN 37415-3801 | 2013-07-30 |
| 1740527753 | Amg-hillside LLC | Family Medicine | 200 Hillside Dr, Pulaski, TN 38478-4566 | 2013-01-10 |
| 1265687917 | Chattanooga Family and Sports Medical Center, Pllc | Family Medicine | 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 | 2008-11-21 |
| 1841485018 | Crystal Shanelle Dyer | Family Medicine | 850 W Main St Ste 2, Rogersville, TN 37857-3663 | 2007-09-11 |
| 1053326876 | Laura N. Lendermon | Family Medicine | 9950 Crooked Creek Drive, Collierville, TN 38017 | 2006-07-30 |
| 1528097771 | Chris A Klenck | Family Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37996-2674 | 2006-07-01 |
| 1003881061 | Bill Moore Smith Jr. | Family Medicine | 632 Morrison Springs Road, Suite #202, Chattanooga, TN 37415 | 2006-02-22 |
| 1700860988 | James Norris Johnson | Family Medicine | 28 White Bridge Rd Ste 207, Nashville, TN 37205-1451 | 2005-12-01 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.