LANE ANDREW FOWLER (NPI# 1699129288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699129288 |
| Entity Type | Individual |
| Full Name | LANE ANDREW FOWLER |
| Credential | MD |
| Practice Address |
450 Northside Cherokee Blvd Canton GA 30115-8015 |
| Mailing Address |
128 E Apple St 2nd Floor Dayton OH 45409-2902 |
| Practice Telephone | 7702241000 |
| Practice Fax Number | 7702242451 |
| Mailing Telephone | 9372082004 |
| Mailing Fax Number | 9372088828 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
00000 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
450 NORTHSIDE CHEROKEE BLVD |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732600 | Paul J Hyler | Internal Medicine | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2005-06-30 |
| 1790390706 | Bradley Louis Mccoul | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-09-15 |
| 1164035747 | Candice Caroline Bramlett | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-25 |
| 1336751494 | Kalum Leiba | Anesthesiologist Assistant | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-20 |
| 1093339533 | Tara Talbott Oberman | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-06-01 |
| 1568085157 | Ross W Devantier | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-19 |
| 1427679034 | Joseph Liverman | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-05 |
| 1518595503 | Erica D Burns | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-03-27 |
| 1093346066 | Emily Beecher | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-01-29 |
| 1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689916199 | Precision Diagnostics LLC | Psychiatry & Neurology | 4153 Monarch Ave, Canton, MI 48188-7207 | 2013-03-22 |
| 1407006802 | Comprehensive Neurology of North Georgia, PC | Psychiatry & Neurology | 203 Oakside Ln, Suite A, Canton, GA 30114-6407 | 2008-09-23 |
| 1255382818 | Sailen K. Mukerjee | Psychiatry & Neurology | 7288 N Sheldon Rd, Canton, MI 48187-2150 | 2006-05-16 |
| 1922058023 | Faiz Ehsan Niaz | Psychiatry & Neurology | 203 Oakside Lane, Suite A, Canton, GA 30114 | 2006-05-11 |
| 1407221658 | Premier Neurological Care | Psychiatry & Neurology | 145 Riverstone Ter, Canton, GA 30114-5317 | 2015-12-14 |
| 1821470550 | Natanel Leibu | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115-8033 | 2015-06-18 |
| 1336553353 | Eric Bracken | Psychiatry & Neurology | 2600 6th St Sw, Canton, OH 44710-1702 | 2014-06-18 |
| 1265774566 | Damien Eugene Earl | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718 | 2013-03-25 |
| 1225370752 | Hamza Tarek Malek | Psychiatry & Neurology | 6119 Us Highway 11, Canton, NY 13617-3991 | 2013-03-22 |
| 1508155854 | Radhika Sampat | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 | 2011-04-06 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on LANE ANDREW 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.