MATTHEW LEVI FOWLER (NPI# 1871910091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871910091 |
| Entity Type | Individual |
| Full Name | MATTHEW LEVI FOWLER |
| Credential | D.O., PH.D. |
| Practice Address |
1120 15th St Augusta GA 30912 |
| Mailing Address |
1120 15th St Augusta GA 30912-0004 |
| Practice Telephone | 7067217000 |
| Mailing Telephone | 7067217000 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
010043 | GA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
010043 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2201 S Sterling St, Morganton, NC 286554044 | 8285805000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053662163 | Matthew Fowler | Marriage & Family Therapist | 406 The Hl, Portsmouth, NH 03801-3736 | 2012-09-28 |
| 1538257498 | Matthew A Fowler | Dentist | 347 W Iowa Ave, Nampa, ID 83686-2856 | 2006-10-10 |
| 1053943688 | Matthew Fowler | Nurse Practitioner | 430 W Iowa Ave, Nampa, ID 83686-2826 | 2020-02-11 |
| 1669024949 | Matthew Aaron Fowler | Pharmacist | 11801 Vogel St, Raleigh, NC 27617-6510 | 2019-07-16 |
| 1093229247 | Matthew Bennett Fowler | Psychologist | 1000 E 24th St, Kansas City, MO 64108-2776 | 2017-11-27 |
| 1548621527 | Matthew Fowler | Internal Medicine | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2016-03-17 |
| 1255751269 | Matthew Fowler | Counselor | 220 Frankfort St Ste 1, Versailles, KY 40383 | 2014-04-17 |
| 1255693156 | Matthew Callis Fowler | Internal Medicine | 4451 Bayou Blvd, Pensacola, FL 32503-2601 | 2012-06-15 |
| 1083904841 | Matthew Bryan Fowler | Family Medicine | 701 E Main St, Jenks, OK 74037-4316 | 2011-04-13 |
| 1801848130 | Matthew Bryan Fowler | Anesthesiology | 1055 N Curtis Rd, Boise, ID 83706-1352 | 2006-05-16 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1205482338 | Thornton Pulmonology & Critical Care LLC | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2019-08-14 |
| 1053653089 | Gabriel Thornton | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2013-03-16 |
| 1710275359 | Sebastian Circo | Internal Medicine | 1350 Walton Way, Augusta, GA 30901-2612 | 2011-07-18 |
| 1518250422 | Burn Icu, LLC | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2011-05-25 |
| 1144531641 | Harigopal Sreerama Reddy | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2010-06-29 |
| 1285829994 | Speros G Livieratos | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2007-09-06 |
| 1366528333 | Varsha Anant Kulkarni | Internal Medicine | 1301 Broad St, Augusta, GA 30901-1055 | 2006-10-31 |
| 1336221084 | Anne Bagley | Internal Medicine | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-10-20 |
| 1245286681 | Carmel Joseph | Internal Medicine | 3630 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2006-05-26 |
| Find all providers in AUGUSTA | ||||
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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.