NPIMap

Individual provider Active NPI

Joshua Keith Fowler, D.O.

  • Family Medicine Physician
  • Oakland Park, FL
National Provider Identifier
1063821759
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS13646 Issued in FL
Practice address
1421 E Oakland Park Blvd Ste 200
Oakland Park, FL 33334-4434
Phone
(954) 565-0875
Fax
(954) 565-0876
NPI assigned
Aug 6, 2014
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3529 ME
Family Medicine Physician 207Q00000X S9502 TX
Family Medicine Physician 207Q00000X OS13646 FL Primary

Addresses

Primary practice location

1421 E Oakland Park Blvd Ste 200
Oakland Park, FL 33334-4434

Mailing address

1421 E Oakland Park Blvd Ste 200
Oakland Park, FL 33334-4434
Phone (954) 565-0875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170123001224 FL Practitioner - Family Practice 6901188234 Reassigns benefits to 1 organization
I20200707000897 TX Practitioner - Family Practice 6901188234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midland Medical Broward LLCGroup PAC ID 3274638549, 10 clinicians

Practice addresses (Care Compare)

1421 E Oakland Park Blvd
Suite 200
Oakland Park, FL 33334-4434
Phone (954) 565-0875

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9502TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Jun 17, 2020 Accepting new patients
Midland Medical Broward LLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Oct 27, 2020 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. CurrentSince Jun 17, 2020 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. PastSince Jul 1, 2020 Accepting new patients

Locations

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

1421 E Oakland Park Blvd
Ste 200
Oakland Park, FL 33334
Phone (954) 375-1276

210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJAED/Endpoint/JJJAED

Organizations & group practices 7

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 5

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1063821759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E OAKLAND PARK BLVD STE 200",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344434",
            "telephone_number": "954-565-0875",
            "fax_number": "954-565-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E OAKLAND PARK BLVD STE 200",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344434",
            "telephone_number": "954-565-0875",
            "fax_number": "954-565-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JOSHUA",
        "middle_name": "KEITH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO3529",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9502",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.