Active NPI
Phillip C Rowden, M.D.
- Psychiatry Physician
- Olla, LA
National Provider Identifier
1083636484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 06648R
- Practice address
- 1102 North Pine Street
Olla, LA 71465-4804 - Phone
- (318) 495-3131
- NPI assigned
- Jul 24, 2006
- Last updated
- Aug 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 06648R | LA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040626000150 | LA | Practitioner - Psychiatry | 6103802509 | Practice locations: Olla, LA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06648R | LA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1083636484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 LINTON AVE",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391202316",
"telephone_number": "601-431-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 NORTH PINE STREET",
"city": "OLLA",
"state": "LA",
"postal_code": "714654804",
"telephone_number": "318-495-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWDEN",
"first_name": "PHILLIP",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "06648R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olla, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.