Jeffrey B Fowler, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0-49 Issued in ID

Practice address

314 E Albeni Hwy
Suite 102
Priest River, ID 83856-0729

Phone

(208) 448-2321

Fax

(208) 448-1317

NPI assigned

Apr 5, 2006

Last updated

Jul 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1093777856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "838560729",
            "telephone_number": "208-448-2321",
            "fax_number": "208-448-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E ALBENI HWY",
            "address_2": "SUITE 102",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "838560729",
            "telephone_number": "208-448-2321",
            "fax_number": "208-448-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "0-49",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002406600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Alfred Deblaquiere, RPH
• Mark E Duke, DMD
• Charles R Falter, D.O.
• William Fenn
• Focused Behavior Solutions, LLC
• Deonna Frichtl, M.S.P.T.
• Elizabeth Halcro, PHARMD
• Healing Partners Equestrian Program
• Brandon Jeffrey Holyoak, DDS
• Nate Hooper, M.A., MFT

• Family Medicine Physician in Priest River, ID
• Providers in Priest River, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.