Individual provider Active NPI

Emily Fowler Omura, MD

  • Dermatopathology (Pathology) Physician
  • Birmingham, AL
National Provider Identifier
1265438972
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
4088 Issued in AL
Practice address
3550 Independence Dr
Birmingham, AL 35209-5710
Phone
(205) 949-2806
Fax
(205) 949-2875
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 4088 AL Primary
Dermatopathology (Pathology) Physician 207ZD0900X ME89014 FL
Dermatopathology (Pathology) Physician 207ZD0900X NC

Addresses

Primary practice location

3550 Independence Dr
Birmingham, AL 35209-5710

Mailing address

3550 Independence Dr
Birmingham, AL 35209-5710
Phone (205) 949-2806

Other names 1

  • Ms. Martha Emily Fowler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89014FLMDDermatopathology (Pathology) Physician
2003-01396NCMDDermatopathology (Pathology) Physician
4088ALMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Pathology Associates, LLC Dermatopathology Past Accepting new patients

Organizations & group practices 1

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265438972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095710",
            "telephone_number": "205-949-2806",
            "fax_number": "205-949-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095710",
            "telephone_number": "205-949-2806",
            "fax_number": "205-949-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMURA",
        "first_name": "EMILY",
        "middle_name": "FOWLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AL",
            "license": "4088",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME89014",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "FOWLER",
            "middle_name": "EMILY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.