Active NPI
Russell Fowler, D.C.
- Chiropractor
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7087
- Practice address
- 1675 E Seminole St
Suite H2
Springfield, MO 65804-2490 - Phone
- (417) 881-2295
- Fax
- (417) 881-4282
- NPI assigned
- Nov 28, 2006
- Last updated
- Feb 18, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7087 | AZ | Primary |
| Chiropractor | 111N00000X | 20144016190 | MO |
Addresses
Primary practice location
1675 E Seminole St
Suite H2
Springfield, MO 65804-2490
Mailing address
PO Box 10182
Springfield, MO 65808-0182
Phone (602) 373-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1675 E Seminole St
Suite H
Springfield, MO 65804-2490
Phone (417) 881-2295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20144016190 | MO | MD | Chiropractor |
| 7087 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell Fowler LLC | Chiropractor | Current | Accepting new patients |
| Harris Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Podolak Chiropractic Center LLC | Past | Accepting new patients | |
| Fred Schofield PC | Chiropractor | Past | Accepting new patients |
Locations
4550 E Bell Rd
Ste 152
Phoenix, AZ 85032
Phone (602) 258-9663
4727 E Bell Rd
Ste 45
Phoenix, AZ 85032
1675 E Seminole St
Ste H
Springfield, MO 65804
Phone (417) 881-2295
Organizations & group practices 4
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.
-
- Chiropractor
- Springfield, MO
- NPI 1487795910
-
- Medical Specialty Clinic/Center
- Phoenix, AZ
- NPI 1699015446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1124194519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10182",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658080182",
"telephone_number": "602-373-5115",
"fax_number": "417-881-4282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 E SEMINOLE ST",
"address_2": "SUITE H2",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042490",
"telephone_number": "417-881-2295",
"fax_number": "417-881-4282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7087",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "20144016190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.