DR. KEITH A KOWAL (NPI# 1528064201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528064201 |
| Entity Type | Individual |
| Full Name | DR. KEITH A KOWAL |
| Credential | M.D. |
| Practice Address |
20308 Beecher St Fairhope AL 36532-3692 |
| Mailing Address |
1851 N Mckenzie St Ste 106 Foley AL 36535-4704 |
| Practice Telephone | 4044322391 |
| Mailing Telephone | 2519431117 |
| Mailing Fax Number | 2519431183 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD.34240 | AL | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
036199 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 179628 | 05 | |
| AL | BCBS OF AL | 511-69027 | 01 |
| AL | MEDICARE | 102I43287 | 01 |
| Street Address |
20308 BEECHER ST |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881019537 | South Otolaryngology-head and Neck Surgery, LLC | Otolaryngology | 2126 W Roy Parker Rd Ste 207, Ozark, AL 36360-8566 | 2014-03-04 |
| 1649523044 | Core Ent. LLC | Otolaryngology | 215 South 5th Street, Gadsden, AL 35901-4217 | 2012-10-23 |
| 1710241054 | Ryan Gegg | Otolaryngology | 112 Haven Dr Ste 1, Dothan, AL 36301-2908 | 2012-07-02 |
| 1528075447 | Southeast Alabama Ent Head & Neck | Otolaryngology | 1118 Rose Clark Circle, Ste 210, Dothan, AL 36301 | 2006-08-02 |
| 1811913544 | Kurt W Kantzler | Otolaryngology | 215 S 5th St, Gadsden, AL 35901-4217 | 2006-07-14 |
| 1538195961 | Blane Edward Bateman | Otolaryngology | 901 Leighton Avenue, Suite 506, Anniston, AL 36207 | 2006-06-25 |
| 1497794945 | Marcus Moody | Otolaryngology | 2116 Data Park, Hoover, AL 35244-1203 | 2006-06-06 |
| 1063467447 | John H Rand | Otolaryngology | 80 Herren Hill Road, Ste D, Tallassee, AL 36078 | 2006-05-23 |
| 1477507408 | Mark L Hagood | Otolaryngology | 201 Whitesport Dr Sw, Huntsville, AL 35801-6449 | 2006-05-22 |
| 1316924798 | Salem K David Jr. | Otolaryngology | 1224 Mcfarland Blvd Ne, Suite A, Tuscaloosa, AL 35406-2287 | 2005-12-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KEITH A KOWAL.
| 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.