NPIMap

Organization Active NPI

Roy and Fowler Associates

  • Family Medicine Physician
  • Ypsilanti, MI
National Provider Identifier
1114102704
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301045243 Issued in MI
Legal business name
ROY AND FOWLER ASSOCIATES
Practice address
880 N Ford Blvd
Ypsilanti, MI 48198-4136
Phone
(734) 483-9900
Fax
(734) 483-9903
NPI assigned
Jan 2, 2008
Organization subpart
Yes
Parent organization
NORTHWEST INDUSTRIAL AND MEDICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Carl Fowler, M.D.
Title
President
Phone
(734) 483-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 4301045243 MI Primary

Addresses

Primary practice location

880 N Ford Blvd
Ypsilanti, MI 48198-4136

Mailing address

880 N Ford Blvd
Ypsilanti, MI 48198-4136
Phone (734) 483-9900

Other identifiers 1

IdentifierTypeStateIssuer
0P20820OtherMIMEDICARE GROUP

Other names 1

  • YPSILANTI MEDICAL AND DRUG REHABILITATION Other name

National Provider Directory

National Provider Directory
Tax ID family
Roy and Fowler Associates2 organizations share this tax ID, including this one
Part of
Northwest Industrial and Medical Services PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1114102704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 N FORD BLVD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481984136",
            "telephone_number": "734-483-9900",
            "fax_number": "734-483-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N FORD BLVD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481984136",
            "telephone_number": "734-483-9900",
            "fax_number": "734-483-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY AND FOWLER ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST INDUSTRIAL AND MEDICAL SERVICES",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-483-9900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301045243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0P20820",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YPSILANTI MEDICAL AND DRUG REHABILITATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.