MR. CARL FOWLER (NPI# 1417989476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417989476 |
| Entity Type | Individual |
| Full Name | MR. CARL FOWLER |
| Credential | MD |
| Practice Address |
1305 N Oakland Blvd Er Department Waterford MI 48327 |
| Mailing Address |
Po Box 685 Lapeer MI 48446 |
| Practice Telephone | 2486669000 |
| Mailing Telephone | 8668987139 |
| Mailing Fax Number | 6169759827 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
CF045243 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104195483 | 05 | |
| MI | BCBS | CF045243 | 01 |
| Street Address |
1305 N OAKLAND BLVD ER DEPARTMENT |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285688838 | Timothy Drinkard | Emergency Medicine | 1305 N Oakland Blvd, Er - Department, Waterford, MI 48327 | 2006-05-19 |
| 1366739815 | Oakland Physicians Medical Center | Clinic/Center | 1305 N Oakland Blvd, Waterford, MI 48327-1547 | 2011-07-06 |
| 1508167107 | North Oakland Asc, LLC | Internal Medicine | 1305 N Oakland Blvd, Waterford, MI 48327-1547 | 2010-11-12 |
| 1881874923 | Strength & Health Medical PC | Family Medicine | 1305 N Oakland Blvd, Waterford, MI 48327-1547 | 2007-11-06 |
| 1831280080 | Gary Lee Ruelle | Family Medicine | 1305 N Oakland Blvd, Waterford, MI 48327-1547 | 2006-09-27 |
| 1114974912 | Quality Care Physicians Group | Nurse Practitioner | 1305 N Oakland Blvd, Er Department, Waterford, MI 48327 | 2006-05-27 |
| 1437104189 | James C Combs | Physician Assistant | 1305 N Oakland Blvd, Er Department, Waterford, MI 48327 | 2006-05-23 |
| 1255386900 | Scott C Bonzheim | Physician Assistant | 1305 N Oakland Blvd, Er Department, Waterford, MI 48327 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336451830 | Paul S Kanfer | Emergency Medicine | 16 Baldwin Dr, Waterford, CT 06385-2708 | 2010-07-13 |
| 1285688838 | Timothy Drinkard | Emergency Medicine | 1305 N Oakland Blvd, Er - Department, Waterford, MI 48327 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CARL FOWLER.
| 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.