Cody J Fowler (NPI# 1386018950, PAC ID# 7113229576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386018950 |
| PAC ID by PECOS | 7113229576 |
| Professional Enrollment ID | I20151231001840 |
| Full Name | Cody J Fowler |
| Organization Legal Name | IDAHO NEUROSURGERY AND SPINE PLLC |
| Address |
3345 Potomac Way Idaho Falls ID 83404-4978 |
| Phone Number | 2085526210 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8325363773 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2325 Coronado St, Idaho Falls, ID 83404-7407 | 2085272700 | IDAHO NEUROSURGERY AND SPINE PLLC |
| 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2085296111 | IDAHO NEUROSURGERY AND SPINE PLLC |
| 3345 Potomac Way, Idaho Falls, ID 83404-4978 | 2085526210 | IDAHO NEUROSURGERY AND SPINE PLLC |
| Organization Legal Name | IDAHO NEUROSURGERY AND SPINE PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon R Kelly | Neurosurgery | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| John D Dickinson | Neurosurgery | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| Elliot V Huntsman | Nurse Practitioner | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| Lora L Kitzmiller | Nurse Practitioner | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| Clark Allen | Neurosurgery | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| Street Address |
3345 POTOMAC WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-4978 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon R Kelly | Neurosurgery | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| John D Dickinson | Neurosurgery | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| Elliot V Huntsman | Nurse Practitioner | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| Lora L Kitzmiller | Nurse Practitioner | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| Clark Allen | Neurosurgery | Idaho Neurosurgery and Spine Pllc | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| Kylee M Permann | Occupational Therapy | Mcdonald Rehab, PC | 3345 Potomac Way, Idaho Falls, ID 83404-4978 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | IDAHO FALLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Cody J Fowler.
| 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.