Stacy Fowler, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

481 Issued in NC

Practice address

1613 Saint Andrews Dr
Mebane, NC 27302-7116

Phone

(336) 213-3910

NPI assigned

Jul 31, 2006

Last updated

Nov 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SLF Podiatry, PLLC

  • Foot Surgery Podiatrist
  • Mebane, NC
  • NPI 1720247539
  Authorized official Same address or phone
• Raleigh Foot Center,PA

  • Foot & Ankle Surgery Podiatrist
  • Raleigh, NC
  • NPI 1619915501
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1275549479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 SAINT ANDREWS DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027116",
            "telephone_number": "336-213-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 SAINT ANDREWS DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027116",
            "telephone_number": "336-213-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "11453384",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89081AJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "081AJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Galego Fischer, DMD
• Rebecca Fitzgerald, MA, CCC-SLP
• Takilah Flood, CNA
• Forsyth Medical Group LLC (BrightSide Care)
• Joseph Sean Fortkort, DDS
• Emily Franklin, PA-C
• Anthony Nettleman Gad, LCMHCA
• Gail M D Belvett DDS and Associates PA (Mebane Children's Dentristry)
• Chatarsha Ann Garner
• Carly Lallemand Garrigan, DDS

• Foot Surgery Podiatrist in Mebane, NC
• Providers in Mebane, NC by specialty
• Foot Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.