Robert John Mowry, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

RM071538 Issued in MI

Practice address

6967 Wilson Dr
Dexter, MI 48130-9257

Phone

(517) 250-1502

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD (past)
• Susquehanna Physician Services

  • Otolaryngology Physician
  • Williamsport, PA
  • NPI 1346263266
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1114967445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6967 WILSON DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309257",
            "telephone_number": "517-250-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6967 WILSON DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309257",
            "telephone_number": "517-250-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWRY",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "RM071538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Mitchell, RN
• Mary Elizabeth Moenssen, D.D.S., M.S.
• Momentum Rehab LLC
• Momentum Rehabilitation Services, Inc.
• Jenna Kathleen Mott, OTRL
• Myint Family Chiropractic, Inc
• Stacey Lyn Myint, D.C.
• Mackenzie Lee Need
• Rebecca Rowland Newman
• Kris Sandra Nicolich, LLP

• Otolaryngology Physician in Dexter, MI
• Providers in Dexter, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.