W.R. Fowler, M.D.,LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

W.R. FOWLER, M.D.,LLC

Practice address

3185 N Leslie Rd
Silver City, NM 88061-7211

Phone

(505) 388-3393

Fax

(505) 388-2696

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Le Ann Robinson, R.N.

Title

Consultant

Phone

(505) 388-3393

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Copper Medical Center Doing business as

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043339880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 N LESLIE RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617211",
            "telephone_number": "505-388-3393",
            "fax_number": "505-388-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 N LESLIE RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617211",
            "telephone_number": "505-388-3393",
            "fax_number": "505-388-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.R. FOWLER, M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LE ANN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "505-388-3393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09266",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR W.R. FOWLER, M.D.",
            "identifier": "1790869998",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24736805",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR TERRELL HADLEY",
            "identifier": "1952342651",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR KAREN DEGENEVIEVE",
            "identifier": "1134203334",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z1351",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Silver City, NM
• Providers in Silver City, NM by specialty
• Health Service Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.