Active NPI
Thomas W Fowles, MD
- Family Medicine Physician
- Mount Vernon, KY
National Provider Identifier
1285679100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38140
- Practice address
- 942 W Main St Unit B
Mount Vernon, KY 40456-2523 - Phone
- (606) 392-2207
- Fax
- (606) 392-2139
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38140 | KY | Primary |
Addresses
Primary practice location
942 W Main St Unit B
Mount Vernon, KY 40456-2523
Mailing address
942 W Main St Unit B
Mount Vernon, KY 40456-2523
Phone (731) 571-9223
Other practice location 1
133 Plaza Dr Ste 3
Berea, KY 40403-2087
Phone (859) 986-1370
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00372184 | Other | KY | RAILROAD MEDICARE |
| 261QP2300X | Other | KY | PRIMARY CARE PHYSICIAN |
| 64102726 | Medicaid | KY | |
| 38140 | Other | KY | FAMILY PRACTICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
942 B W Main St
Mount Vernon, KY 40456-2523
Phone (606) 392-2207
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Letek PLLC | Family Medicine | Current | Accepting new patients |
| Strauss Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Advanced Family Medical Clinic Mount Vernon | Family Medicine | Past | Accepting new patients |
Locations
50 Lovell Ct
Mount Vernon, KY 40456
Phone (606) 386-1917
942 W Main St
Unit B
Mount Vernon, KY 40456
Phone (606) 392-2207
Interoperability endpoints
- thomas.fowles.1@14011.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Nurse Practitioner
- Berea, KY
- NPI 1912054792
-
- Urgent Care Clinic/Center
- Georgetown, KY
- NPI 1780838847
-
- Rural Health Clinic/Center
- Berea, KY
- NPI 1649401563
-
- Rural Health Clinic/Center
- Somerset, KY
- NPI 1578090403
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1285679100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 W MAIN ST UNIT B",
"city": "MOUNT VERNON",
"state": "KY",
"postal_code": "404562523",
"telephone_number": "731-571-9223",
"fax_number": "931-901-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 W MAIN ST UNIT B",
"city": "MOUNT VERNON",
"state": "KY",
"postal_code": "404562523",
"telephone_number": "606-392-2207",
"fax_number": "606-392-2139"
}
],
"practiceLocations": [
{
"address_1": "133 Plaza Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Berea",
"state": "KY",
"postal_code": "404032087",
"country_code": "US",
"telephone_number": "859-986-1370",
"fax_number": "859-986-1374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOWLES",
"first_name": "THOMAS",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "38140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00372184",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY CARE PHYSICIAN",
"identifier": "261QP2300X",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64102726",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY PRACTICE",
"identifier": "38140",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.