DR. SUSAN SHORE LOWRY (NPI# 1871592287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871592287 |
| Entity Type | Individual |
| Full Name | DR. SUSAN SHORE LOWRY |
| Credential | M.D. |
| Practice Address |
117 Kennedy Dr Martin TN 38237-3309 |
| Practice Telephone | 7315879511 |
| Practice Fax Number | 7315870785 |
| Mailing Telephone | 7315879511 |
| Mailing Fax Number | 7315870785 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD26758 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 301112 | 05 | |
| TN | UAHC HEALTH PLAN | 16685 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 3028491 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202321 | Susan Lowry | Massage Therapist | 310 W Crawford Ave, Connellsville, PA 15425-3029 | 2020-10-16 |
| 1962739276 | Susan Lowry | Counselor | 4149 Highline Blvd, Suite 380, Oklahoma City, OK 73108-2103 | 2009-11-06 |
| Street Address |
117 KENNEDY DR |
| City | MARTIN |
| State | TN |
| Zip Code | 38237-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254164 | Audie B Marlar Jr. | Family Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-06-10 |
| 1780060319 | Keely Elizabeth Vaughan | Physician Assistant | 117 Kennedy Dr, Martin, TN 38237-3309 | 2015-08-05 |
| 1558697540 | Leslie Ann Ary | Nurse Practitioner | 117 Kennedy Dr, Martin, TN 38237-3309 | 2009-10-26 |
| 1891908117 | Stefanie Lea Gray | Nurse Practitioner | 117 Kennedy Dr, Martin, TN 38237-3309 | 2007-05-07 |
| 1093768988 | Martin Medical Center, P.C. | Clinic/Center | 117 Kennedy Dr, Martin, TN 38237-3309 | 2006-05-19 |
| 1538135314 | Michael Trent Scates | Physician Assistant | 117 Kennedy Dr, Martin, TN 38237-3309 | 2006-02-23 |
| 1578533048 | Laboratory Corporation of America | Clinical Medical Laboratory | 117 Kennedy Dr, Martin, TN 38237-3309 | 2006-01-25 |
| 1043200280 | Walter Frizzell Fletcher | Emergency Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-10-27 |
| 1790784106 | James William Shore | Family Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-07-18 |
| 1780683102 | Anna Kristine Hopla | Internal Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1336669159 | Alex Reamy | Specialist/Technologist | 15 Mt. Pelia Road, Martin, TN 38237 | 2017-06-22 |
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1275901381 | William Zimmerman | Chiropractor | 633 Haygood Rd, Martin, TN 38237 | 2015-09-04 |
| 1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
| 1063837946 | Tolliver-scott & Associates | Private Vehicle | 113 Kenny Road, Martin, TN 38237 | 2014-02-28 |
| 1982932711 | Anne M Fritcher | Physician Assistant | 189 Mount Pelia Rd, Martin, TN 38237 | 2009-12-07 |
| 1295062669 | Laura C Plunk | Behavioral Analyst | University Commons, Martin, TN 38237 | 2009-11-05 |
| 1710210497 | Stacie M. Callins | Specialist | 180 Mt. Pelia Rd., Healthsouth Cane Creek Rehab. Hospital, Martin, TN 38237 | 2009-09-11 |
| 1275739930 | Diagnostic Imaging Consultants,ltd | Radiology | 215 Hawks Rd Ste 4, Martin, TN 38237 | 2007-06-21 |
| Find all providers in zip 38237 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073013306 | Fast Pace Medical Clinic LLC | Family Medicine | 108 Courtright Rd, Martin, TN 38237-1607 | 2018-02-13 |
| 1275885832 | Janey Lynn Watts | Family Medicine | 263 Ky Route 122 Ste C, Martin, KY 41649 | 2012-10-08 |
| 1295802619 | Weber Medical Services PC | Family Medicine | 109 Pugh Street, Martin, SD 57551-0370 | 2006-11-29 |
| 1649214362 | Larry Alvin Weitzenkamp | Family Medicine | 109 Pugh St, Martin, SD 57551-0370 | 2006-06-15 |
| 1376506535 | Prem Shankar Verma | Family Medicine | 11176 Main St, Martin, KY 41649-7999 | 2006-04-10 |
| 1952378408 | Karen S.p. Eschedor | Family Medicine | 4948 Gumlog Rd, Martin, GA 30557-2921 | 2006-03-03 |
| 1801886064 | Michael John Medeck | Family Medicine | 302 1st Ave., Martin, SD 57551 | 2005-10-27 |
| 1396738266 | Kenneth W Carr | Family Medicine | 115 Mount Pelia Rd, Martin, TN 38237-3315 | 2005-08-25 |
| 1467458034 | Gopal R Majmundar | Family Medicine | 11217 Main Street, Martin, KY 41649-0828 | 2005-06-28 |
| 1447254164 | Audie B Marlar Jr. | Family Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-06-10 |
| Find all providers in MARTIN | ||||
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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.