JOHN FOWLKES (NPI# 1326113234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326113234 |
| Entity Type | Individual |
| Full Name | JOHN FOWLKES |
| Credential | MD |
| Practice Address |
800 Rose St Lexington KY 40536-0001 |
| Practice Telephone | 8593235404 |
| Mailing Telephone | 8593235404 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
32794 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 142697001 | 05 |
| Street Address |
800 ROSE ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560322 | Reinhold Munker | Internal Medicine | 800 Rose St, Lexington, KY 40536-4228 | 2005-07-07 |
| 1265032825 | Morgan Rose Grantham | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-31 |
| 1205436342 | Corrie Lyn Baumer | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-28 |
| 1053919779 | Timothy Burton | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1588262307 | Adam Sieg | Pharmacist | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1255939351 | Brittany Monroe | Registered Nurse | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-12 |
| 1477150365 | Pearl Elizabeth Peterson | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-05 |
| 1093322745 | Katie Lynn Rust | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1558978221 | Michele Lee Bodine | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1184231839 | Jennifer Gene Bauman | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811121692 | Evangelia Kalaitzoglou | Pediatrics | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504 | 2009-05-08 |
| 1417140880 | Margot S Blank | Pediatrics | 41 North Road, @ Dr T.nathan, Lexington, MA 02173 | 2007-08-20 |
| 1023162492 | Wilburn Jackson Smith IIi | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2007-01-23 |
| 1346330909 | Alba E. Morales Pozzo | Pediatrics | 740 S Limestone St, Lexington, KY 40536-0001 | 2006-10-13 |
| 1255421814 | Kathryn Thrailkill | Pediatrics | 740 S Limestone St, Lexington, KY 40536-0001 | 2006-10-13 |
| 1568482826 | Charles Charlton Mabry | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780737510 | Susan Raghavan | Pediatrics | 9720 Park Plaza Ave Unit 202, Louisville, KY 40241-2290 | 2007-01-18 |
| 1659807881 | University of Louisville | Pediatrics | 601 S Floyd St, Ste 403, Louisville, KY 40202-1835 | 2017-05-09 |
| 1093105306 | University of Louisville Physicians, Inc. | Pediatrics | 210 E Gray St, Suite 601a, Louisville, KY 40202-3900 | 2015-01-26 |
| 1679985519 | Paul Hiers | Pediatrics | 411 E Chestnut St # Street7, Louisville, KY 40202-1713 | 2014-05-27 |
| 1386070019 | Susan Raghavan, Md | Pediatrics | 9720 Park Plaza Ave Unit 202, Louisville, KY 40241-2290 | 2013-09-26 |
| 1144586876 | University of Louisville Physicians, Inc. | Pediatrics | 210 E Gray St, Suite 803, Louisville, KY 40202-3900 | 2012-04-06 |
| 1447530910 | Priyanka Bakhtiani | Pediatrics | 601 S Floyd St, Ste 403, Louisville, KY 40202-1837 | 2011-08-27 |
| 1669765749 | Bradly Jackson Thrasher | Pediatrics | 411 E Chestnut St # St7, Louisville, KY 40202-1713 | 2011-05-23 |
| 1124159009 | Kupper Anthony Wintergerst | Pediatrics | 411 E Chestnut St # Street7, Louisville, KY 40202-1713 | 2007-03-09 |
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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.