Keith Fowler, CSA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

3717 Meadow Vista TRL
Lithonia, GA 30038-7736

Phone

(404) 803-0110

NPI assigned

Sep 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265532881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361972",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300361972",
            "telephone_number": "404-803-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 MEADOW VISTA TRL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300387736",
            "telephone_number": "404-803-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Foley
• Elissa Gloria Fontenot, NP
• Toshiba Forrest
• Quantrell Devon Fortune, M. ED BCBA
• Khaliah Foster
• Kiara Ellene Francis, DPM
• Bresha Shaw Franklin, PHARM D
• Gary Austin Freeman
• McArthur Freeman, M.D.
• Stevye Freeman

• Surgical Technologist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Surgical Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.