Individual provider Active NPI

Lee Dickinson Rowe, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Phila, PA
National Provider Identifier
1194723163
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
MD017012E Issued in PA
Practice address
2340 E Allegheny Ave
Phila, PA 19134-4433
Phone
(215) 423-6670
Fax
(215) 423-7787
NPI assigned
Jul 13, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X MD017012E PA Primary

Addresses

Primary practice location

2340 E Allegheny Ave
Phila, PA 19134-4433

Mailing address

2450 W Hunting Park Ave
Phila, PA 19129-1302
Phone (215) 926-9022

Other identifiers 1

IdentifierTypeStateIssuer
000813272MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000350 PA Practitioner - Otolaryngology 7911067392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD017012EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc. CurrentSince Oct 1, 2016 Accepting new patients
Temple Physicians Inc Current Accepting new patients
Temple Physician Inc. CurrentSince Oct 1, 2016 Accepting new patients
Temple Physicians Inc Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

2340 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 423-6670

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1194723163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-926-9022",
            "fax_number": "215-226-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E ALLEGHENY AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191344433",
            "telephone_number": "215-423-6670",
            "fax_number": "215-423-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "LEE",
        "middle_name": "DICKINSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2016-12-08",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "PA",
            "license": "MD017012E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000813272",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.