Phillip C Rowden, M.D.
Individual provider Active NPI Psychiatry Physician · Olla, LA
NPI 1083636484 · NPPES record last updated Aug 25, 2008
Key facts
- NPI
- 1083636484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 06648R (LA)
- Practice address
- 1102 North Pine Street
Olla, LA 71465-4804 - Phone
- (318) 495-3131
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040626000150 | LA | Practitioner - Psychiatry | 6103802509 | Practice locations: Olla, LA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06648R | LA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 06648R | LA | Yes |
Addresses
Primary practice location
1102 North Pine Street
Olla, LA 71465-4804
Mailing address
210 Linton Ave
Natchez, MS 39120-2316
Phone (601) 431-4015
Other providers in Olla, LA
- Linus Carroll Medical Corporation
- Carmela Ann Mathews
- Mallory Morton
- Amanda Bruce Novak
- Kayla Cloud Patten
- Sahara Emergency Physicians, LLC
- Ellen Deann Shipp
- Breanne Smith
- Smotherman Inc
- Rickey Smotherman
All providers in Olla, LA · Psychiatry Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.