NPIMap

Individual provider Active NPI

Shari Lyn Rowley, MD

  • Emergency Medicine Physician
  • Draper, UT
National Provider Identifier
1043218464
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
49032071205 Issued in UT
Practice address
361 Manti Dr
Draper, UT 84020-5120
Phone
(801) 545-0818
NPI assigned
Jul 9, 2005
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 49032071205 UT Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 120698 FL

Addresses

Primary practice location

361 Manti Dr
Draper, UT 84020-5120

Mailing address

1100 Terralago Way
Kissimmee, FL 34746-2918
Phone (801) 545-0818

Other identifiers 3

IdentifierTypeStateIssuer
P00207996OtherUTRAIL ROAD
49032078914001OtherUTBLUE CROSS BLUE SHIELD
D4150MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140923002439 FL Practitioner - Emergency Medicine 2961307228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Utah School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Emergency Physicians Kang and Associates MD LLCGroup PAC ID 0143113878, 318 clinicians
Lake Wales Emergency Physicians, LLCGroup PAC ID 8022270461, 36 clinicians

Practice addresses (Care Compare)

13691 E Colonial Dr
Adventhealth Waterford Lakes ER
Orlando, FL 32826-4962
Phone (407) 303-2200

410 S 11TH St
Lake Wales, FL 33853-4203
Phone (863) 676-1433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49032071205UTMDEmergency Medicine Physician
120698FLMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince May 3, 2020 Accepting new patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Tooele Hospital Corporation Past Accepting new patients
Utah Valley Radiology Associates Inc PastSince May 1, 2008 Accepting new patients
Timpanogos Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Medical Billing LLC Past Accepting new patients
Emergency Medical Service, Inc Past Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine Past Accepting new patients
Utah Valley Emergency Physicians Inc Emergency Medicine PastSince Dec 15, 2019 Accepting new patients
Riverwoods Urgent Care Center LC Emergency Medicine PastSince Apr 30, 2003 Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

13691 E Colonial Dr
Orlando, FL 32826
Phone (407) 281-3600

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1043218464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TERRALAGO WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462918",
            "telephone_number": "801-545-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 MANTI DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205120",
            "telephone_number": "801-545-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLEY",
        "first_name": "SHARI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "49032071205",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "120698",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00207996",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49032078914001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4150",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.