Michael Oluwasogo Fowowe, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0006689 Issued in MD

Practice address

1045 Taylor Ave Ste 104
Baltimore, MD 21286-8315

Phone

(410) 296-0180

Fax

(410) 296-1587

NPI assigned

Dec 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Global Healthcare Systems IncGroup PAC ID 6103256557, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.fowowe.1@20414.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20414/brand/1/csg/1/fhir/r4

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.

• Global Healthcare Systems, Inc

  • Primary Care Clinic/Center
  • Baltimore, MD
  • NPI 1932758273
  Medicare reassignment Care Compare group Authorized official
• Global Healthcare Systems, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baltimore, MD
  • NPI 1740707140
  NPD (past) Authorized official

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053827196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 SIWANOY DR",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403435",
            "telephone_number": "443-414-3587",
            "fax_number": "410-296-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 TAYLOR AVE STE 104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212868315",
            "telephone_number": "410-296-0180",
            "fax_number": "410-296-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2203 Philadelphia Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "MD",
            "postal_code": "210401109",
            "country_code": "US",
            "telephone_number": "410-612-0275",
            "fax_number": "410-612-0287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Franklin Square Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212373901",
            "country_code": "US",
            "telephone_number": "443-777-7415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWOWE",
        "first_name": "MICHAEL",
        "middle_name": "OLUWASOGO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0006689",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanel Fowler
• Abria Fowlkes
• Lamont E Fowlkes
• Patrice Fowlkes
• Shytiera Fowlkes
• Caroline Marie Fox
• Chelise Fox
• David Fox, MD
• Evan Fox
• Harold Edward Fox, M.D.

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.