DR. MATTHEW CALLIS FOWLER (NPI# 1255693156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255693156 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW CALLIS FOWLER |
| Credential | D.O. |
| Practice Address |
4451 Bayou Blvd Pensacola FL 32503-2601 |
| Practice Telephone | 8504167619 |
| Practice Fax Number | 8504167753 |
| Mailing Telephone | 8504167619 |
| Mailing Fax Number | 8504167753 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS12439 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | UO3013 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA STATE MEDICAL LICENSE | OS12439 | 01 |
| FL | DEA | FF4295766 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053662163 | Matthew Fowler | Marriage & Family Therapist | 406 The Hl, Portsmouth, NH 03801-3736 | 2012-09-28 |
| 1538257498 | Matthew A Fowler | Dentist | 347 W Iowa Ave, Nampa, ID 83686-2856 | 2006-10-10 |
| 1053943688 | Matthew Fowler | Nurse Practitioner | 430 W Iowa Ave, Nampa, ID 83686-2826 | 2020-02-11 |
| 1669024949 | Matthew Aaron Fowler | Pharmacist | 11801 Vogel St, Raleigh, NC 27617-6510 | 2019-07-16 |
| 1093229247 | Matthew Bennett Fowler | Psychologist | 1000 E 24th St, Kansas City, MO 64108-2776 | 2017-11-27 |
| 1548621527 | Matthew Fowler | Internal Medicine | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2016-03-17 |
| 1255751269 | Matthew Fowler | Counselor | 220 Frankfort St Ste 1, Versailles, KY 40383 | 2014-04-17 |
| 1871910091 | Matthew Levi Fowler | Internal Medicine | 1120 15th St, Augusta, GA 30912 | 2014-03-26 |
| 1083904841 | Matthew Bryan Fowler | Family Medicine | 701 E Main St, Jenks, OK 74037-4316 | 2011-04-13 |
| 1801848130 | Matthew Bryan Fowler | Anesthesiology | 1055 N Curtis Rd, Boise, ID 83706-1352 | 2006-05-16 |
| Street Address |
4451 BAYOU BLVD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099839 | Martha H Sanford | Internal Medicine | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2005-08-02 |
| 1770121535 | Brian Wade Pullam | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-12-11 |
| 1356903215 | Noelle J Emmons | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-07-01 |
| 1750940268 | Lauren Mary Myers | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-06-08 |
| 1588222814 | Itumeleng M Ncube | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2019-06-01 |
| 1861980724 | Clorinda M Baker | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2018-04-26 |
| 1649786179 | Ashley Renee Norwood | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2017-12-20 |
| 1164931242 | Abigail Kathryn Fleischman | Nurse Practitioner | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2017-09-21 |
| 1215383542 | Michael Trent Norman | Hospitalist | 4451 Bayou Blvd, Pensacola, FL 32503 | 2016-05-05 |
| 1689083354 | Joseph B. Smith Jr. | Speech-Language Pathologist | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
|---|---|---|---|---|
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1518468966 | Beacon Medical LLC | Internal Medicine | 5113 N Davis Hwy Ste 3, Pensacola, FL 32503-2035 | 2018-02-21 |
| 1164960142 | Laurie P. Sansbury, Jr. D.o. P.a. | Internal Medicine | 7164 Inniswold Dr, Pensacola, FL 32526-8034 | 2017-02-09 |
| 1205282688 | Brooks Alan Parker | Internal Medicine | 1008 E Lloyd St, Pensacola, FL 32503-6075 | 2016-05-04 |
| 1508211616 | Will Pope Walker | Internal Medicine | West Florida Hospital, Pensacola, FL 31514 | 2016-04-26 |
| 1902286743 | Donald Ford | Internal Medicine | 5375 N 9th Ave, Pensacola, FL 32504-8725 | 2015-06-07 |
| 1992128060 | Lise Moore Mungul | Internal Medicine | 5020 N Davis Hwy, Pensacola, FL 32503-2345 | 2014-01-27 |
| 1528308962 | Abc Medical House Calls, Inc. | Internal Medicine | 8596 Orange Ave, Pensacola, FL 32534-3345 | 2013-02-21 |
| 1902145758 | Frank R Murphy | Internal Medicine | 4400 Bayou Blvd Ste 20, Pensacola, FL 32503-1908 | 2013-02-13 |
| 1871877191 | Ward Dean | Internal Medicine | 5559 N Davis Hwy Ste B, Pensacola, FL 32503-2068 | 2011-10-05 |
| Find all providers in PENSACOLA | ||||
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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.