DR. THOMAS D FOWLKES


Address: 1916 University Ave, Oxford, MS 38655-4114
Phone: 6622811306

DR. THOMAS D FOWLKES (NPI# 1477649218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477649218
Entity Type Individual
Full Name DR. THOMAS D FOWLKES
Credential M. D.
Practice Address 1916 University Ave
Oxford
MS 38655-4114
Mailing Address Po Box 1093
Oxford
MS 38655-1093
Practice Telephone 6622811306
Practice Fax Number 6622811326
Mailing Telephone 6628017508
Mailing Fax Number 6622348531
Enumeration Date 2006-10-05
Last Update Date 2012-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 13406 MS Allopathic & Osteopathic Physicians
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
13406 MS Allopathic & Osteopathic Physicians
N 208D00000X General Practice 13406 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS CIGNA PIN 5916714 01
MS 01508551 05

Office Location

Street Address 1916 UNIVERSITY AVE
City OXFORD
State MS
Zip Code 38655-4114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245747526 Brian Simmons Social Worker 1916 University Ave, Oxford, MS 38655-4114 2018-01-08
1659883155 Marcelene Kubacki Redding Counselor 1916 University Ave, Oxford, MS 38655-4114 2017-10-25
1548799000 Deja Jawanda Washington Counselor 1916 University Ave, Oxford, MS 38655-4114 2017-06-08
1215476569 Martinese Fitzpatrick Counselor 1916 University Ave, Oxford, MS 38655-4114 2017-02-20
1487193884 Larry R. Wills Counselor 1916 University Ave, Oxford, MS 38655-4114 2017-02-17
1649635111 Emily Grace Ames Counselor 1916 University Ave, Oxford, MS 38655-4114 2015-12-28
1841661899 Autum Pierce Counselor 1916 University Ave, Oxford, MS 38655-4114 2015-10-16
1619353877 Oxford Treatment Center, LLC Clinic/Center 1916 University Ave, Oxford, MS 38655-4114 2015-08-10
1720404916 Doris Meux Counselor 1916 University Ave, Oxford, MS 38655-4114 2014-03-12
1477817526 Oxford Centre Physician Group, P.a. Psychologist 1916 University Ave, Oxford, MS 38655-4114 2012-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619585809 Oxford Treatment Center, LLC Substance Abuse Rehabilitation Facility 616 Commerce Parkway, Oxford, MS 38655 2020-07-14
1760044465 Lindsay Low Beauchamp Speech-Language Pathologist 169 Ms-6 #102, Oxford, MS 38655 2019-07-02
1861058075 Tomiko D Mackey Social Worker 100 Carriage Cove, Oxford, MS 38655 2019-05-13
1174090039 Derionne Brooks Specialist/Technologist 972 Hathorn Road, University, MS 38655 2018-10-30
1497236327 Providence Companion Care Nurse's Aide 317 Heritage Dr Ste 3b, Oxford, MS 38655 2018-08-28
1255817292 Marcela Caroline Weber Counselor 152 Mississippi 7 South, Oxford, MS 38655 2018-07-12
1649775123 Oxford Outpatient Center, LLC Clinic/Center 611 Commerce Pkwy, Oxford, MS 38655 2018-03-27
1073039962 Sharon Yvette Holloway Social Worker 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 2017-08-22
1447774682 Courtney M Purvis Physical Therapist 300 Enterprise Dr Ste B, Oxford, MS 38655 2017-07-31
1649716580 Taylor Lynn Smith Counselor 152 Ms-7, Oxford, MS 38655 2017-01-17
Find all providers in zip 38655

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164518874 John Thomas Barringer Internal Medicine 1551 E County Line Rd, Jackson, MS 39211-1801 2006-10-04
1730289802 Lloyd James Gordon IIi Internal Medicine 3949 Highway 43 N, Brandon, MS 39047-7240 2006-09-25
1306840871 William R. Fellows, Md Internal Medicine 180 Debuys Rd, Ste 130, Biloxi, MS 39531-4402 2005-06-11
1104117688 Gerald B Broussard Jr. Internal Medicine 6051 U S Highway 49, Hattiesburg, MS 39401-7200 2011-05-02
1699897066 Carl Alvin Faulks Internal Medicine 450 E Pass Rd, Suite 3, Gulfport, MS 39507-3212 2007-04-04
1396814794 James J Kramer Internal Medicine 405 Fontaine Pl, Suite 101, Ridgeland, MS 39157-5228 2006-11-07

Competitor

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City OXFORD
Zip Code 38655

Improve Information

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Dataset Information

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.

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