MR. GARY W FOWLER (NPI# 1922118496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922118496 |
| Entity Type | Individual |
| Full Name | MR. GARY W FOWLER |
| Credential | A.P.N. |
| Practice Address |
3401 Springhill Dr Suite 245 North Little Rock AR 72117-2924 |
| Practice Telephone | 5017581530 |
| Practice Fax Number | 5017585371 |
| Mailing Telephone | 5017581530 |
| Mailing Fax Number | 5017585371 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A01813 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | REGISTERED NURSE | R20858 | 01 |
| AR | ADVANCED PRACTICE NURSE | A01813ANP | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073503405 | Gary Matthew Fowler | Family Medicine | 191 Caraway Dr, Suite A, Winfield, AL 35594-5067 | 2005-10-26 |
| 1730590597 | Gary Fowler | Pharmacist | 230 N Beltline Dr, Florence, SC 29501-7403 | 2014-05-14 |
| Street Address |
3401 SPRINGHILL DR SUITE 245 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184077802 | Anne M Hiegel | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2016-07-18 |
| 1972944064 | Gastro Clinics of Arkansas, Pllc | Specialist | 3401 Springhill Dr, Suite 400a, North Little Rock, AR 72117-2924 | 2013-07-17 |
| 1447556048 | Capes Dialysis LLC | Clinic/Center | 3401 Springhill Dr, Ste 190, North Little Rock, AR 72117-2924 | 2011-01-31 |
| 1205131869 | Dr Dave L Ouellette, Dds, Pa | Dentist | 3401 Springhill Dr, Suite 285, North Little Rock, AR 72117-2924 | 2011-01-12 |
| 1295963379 | Johnathan David Goodwin | Internal Medicine | 3401 Springhill Dr, Suite 400, North Little Rock, AR 72117 | 2009-06-26 |
| 1972730463 | Nicole Tidwell Turner | Registered Nurse | 3401 Springhill Dr, North Little Rock, AR 72117-2924 | 2009-06-11 |
| 1215189451 | Kelli Kostelnik | Dietitian, Registered | 3401 Springhill Dr, # 190, North Little Rock, AR 72117-2924 | 2008-10-21 |
| 1386825354 | Peyton E Rice Jr. | Urology | 3401 Springhill Dr, Suite 240, North Little Rock, AR 72117-2924 | 2007-11-19 |
| 1386790137 | Shannon Case | Legal Medicine | 3401 Springhill Dr, Ste 390, North Little Rock, AR 72117-2924 | 2007-01-26 |
| 1669582995 | Joanne M Wilson | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184101099 | Lindsay Simpson | Nurse Practitioner | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117-2926 | 2018-07-24 |
| 1184077802 | Anne M Hiegel | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2016-07-18 |
| 1073863882 | Lara Laine Lawrence | Nurse Practitioner | 4701 Fairway Ave, Uams Strive Program, North Little Rock, AR 72116-3500 | 2012-09-19 |
| 1275751513 | Matthew Vincent Hadley | Nurse Practitioner | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117 | 2007-04-23 |
| 1669582995 | Joanne M Wilson | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324216 | Taira Nicole Bernard | Nurse Practitioner | 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 | 2020-04-07 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1386152163 | Sara Jane Brown | Nurse Practitioner | 4000 Linwood Dr Ste H, Paragould, AR 72450-7224 | 2018-01-16 |
| 1194178376 | Amy Hodges | Nurse Practitioner | 172 Highway 62 W, Salem, AR 72576-8059 | 2016-07-22 |
| 1265824841 | Ashley Gayle Vaughan | Nurse Practitioner | 7303 Rogers, Ave 201, Pediatric Partners, Fort Smith, AR 72903-4112 | 2015-02-19 |
| 1215333075 | Lisa Lavon Fields | Nurse Practitioner | 5434 W Walsh Ln, Rogers, AR 72758-8946 | 2014-11-06 |
| 1689923831 | Joanna Lowery | Nurse Practitioner | 3 Childrens Way, Little Rock, AR 72202-3500 | 2012-09-04 |
| 1881941417 | Denice Marie Bozeman | Nurse Practitioner | 1 Childrens Way # 707, Little Rock, AR 72202-3500 | 2012-08-14 |
| 1699038711 | Jennifer Ellen Murphree | Nurse Practitioner | 1 Children's Way, St # 653, Little Rock, AR 72202 | 2012-06-22 |
| 1255579124 | Kimberly Ann Grundy | Nurse Practitioner | 800 Marshall St # 512-3, Little Rock, AR 72202-3510 | 2009-01-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
Please comment or provide details below to improve the information on MR. GARY W 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.