Susan Mary Fowell (NPI# 1821091075, PAC ID# 2062474521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1821091075 |
| PAC ID by PECOS | 2062474521 |
| Professional Enrollment ID | I20100421000117 |
| Full Name | Susan Mary Fowell |
| Address |
1235 N Mulford Rd Rockford IL 61107-3879 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140239 | ROCKFORD MEMORIAL HOSPITAL |
| 140233 | OSF SAINT ANTHONY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1235 N Mulford Rd, Rockford, IL 61107-3879 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
1235 N MULFORD RD |
| City | ROCKFORD |
| State | IL |
| Zip | 61107-3879 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Minore | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 |
| Bryn Maxine Byers Krause | Nurse Practitioner | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Melissa L Stenstrom | Dermatology | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Andrew J Blint | Orthopedic Surgery | 1235 N Mulford Rd, Suite 103, Rockford, IL 61107-3879 | |
| Andrew I Jun | Otolaryngology | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Azhar M Kothawala | Interventional Pain Management | Medical Pain Management Services, Ltd. | 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 |
| Lori A Schultz | Nurse Practitioner | Surgical Services of Illinois, Sc | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 |
| Peggy W Shiels | Internal Medicine | Jack W. Lenox, Ltd | 1235 N Mulford Rd, Rockford, IL 61107-3879 |
| Lucy W Martin | Nurse Practitioner | Jack W. Lenox, Ltd | 1235 N Mulford Rd, Suite 200, Rockford, IL 61107-3879 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hultman | Clinical Social Worker | 4320 Spring Creek Rd, Suite 9, Rockford, IL 61107-1157 | |
| Casey Jane Pilcher | Clinical Social Worker | 4320 Spring Creek Rd, Suite 18, Rockford, IL 61107-1158 | |
| Christine Blake Feathers | Clinical Social Worker | 4320 Spring Creek Rd, Rockford, IL 61107-1175 | |
| Roger H Hill | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Vasana Lerdvoratavee | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Ronald Weingart | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Kelly A Kalt | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Amira Al-basha | Physician Assistant | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Maria Albasha | Dermatology | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Stephen D Beaman | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Find all physicians in zip 61107 | |||
| City | ROCKFORD |
| Zip Code | 61107 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ROCKFORD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Susan Mary Fowell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.