NPIMap

Individual provider Active NPI

Emily Renee Johnson Fowler, M.D.

  • Anesthesiology Physician
  • Sioux Falls, SD
National Provider Identifier
1316204407
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
67422 Issued in WI
Practice address
6317 S Vineyard Ave
Sioux Falls, SD 57108-3826
Phone
(612) 710-3407
NPI assigned
Apr 13, 2012
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 56937 MN
Anesthesiology Physician 207L00000X 106995 MN
Anesthesiology Physician 207L00000X 67422 WI Primary

Addresses

Primary practice location

6317 S Vineyard Ave
Sioux Falls, SD 57108-3826

Mailing address

6317 S Vineyard Ave
Sioux Falls, SD 57108-3826

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230303000623 SD Practitioner - Anesthesiology 5092956441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Minnesota Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians
Anesthesiology Associates IncGroup PAC ID 2668364548, 27 clinicians

Practice addresses (Care Compare)

1000 W 4TH St
Suite 8
Yankton, SD 57078-3700

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795

601 S Cliff Ave
Suite a
Sioux Falls, SD 57104-5275
Phone (605) 338-7098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106995MNMDAnesthesiology Physician
67422WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services CurrentSince Nov 1, 2023 Accepting new patients
Anesthesiology Associates, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Sacred Heart Health Services CurrentSince Nov 1, 2023 Accepting new patients

Locations

601 S Cliff Ave
Ste A
Sioux Falls, SD 57104
Phone (605) 338-7098

6900 S Lyncrest Pl
Sioux Falls, SD 57108
Phone (605) 322-2790

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 3

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.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1316204407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 S VINEYARD AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 S VINEYARD AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083826",
            "telephone_number": "612-710-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "EMILY",
        "middle_name": "RENEE JOHNSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "56937",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "106995",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "67422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.