Michelle Burnside Fowers, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L3302 Issued in TX

Practice address

400 W Ih 635 Fwy
Suite 250
Irving, TX 75063-3718

Phone

(972) 481-6400

Fax

(972) 831-9794

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936

  Pediatrics

  Medicare reassignment NPD
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1043243744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W IH 635 FWY",
            "address_2": "SUITE 250",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633718",
            "telephone_number": "972-481-6400",
            "fax_number": "972-831-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W IH 635 FWY",
            "address_2": "SUITE 250",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633718",
            "telephone_number": "972-481-6400",
            "fax_number": "972-831-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWERS",
        "first_name": "MICHELLE",
        "middle_name": "BURNSIDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L3302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151910001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F3458",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfowers225346@direct.sw.org",
            "affiliation": "N",
            "address_1": "400 W Ih 635 Fwy",
            "address_2": "Suite 250",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750633718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher J Foster, M.D.
• Devin Foster, M.A., LPC
• Cameron Fountain, LCDC
• Four B Care Solutions, Inc.
• Francisca Lord Fournier
• Alyssa Fox
• Anna Rose Fragen, MS, CCC-SLP
• Franto Francis, MD, PHD
• Laura Louise Francis
• Dawn Francisco, FNP-C

• Pediatrics Physician in Irving, TX
• Providers in Irving, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.