Individual provider Active NPI

Mark J. Fowler, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Smith, AR
National Provider Identifier
1346220449
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19869 Issued in SC
Practice address
1500 Dodson Ave
Suite 230
Fort Smith, AR 72901-5182
Phone
(479) 709-7490
Fax
(479) 709-7495
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19869 SC Primary

Addresses

Primary practice location

1500 Dodson Ave
Suite 230
Fort Smith, AR 72901-5182

Mailing address

PO Box 11450
Belfast, ME 04915-4005
Phone (479) 709-1924

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000540 AR Practitioner - Obstetrics/Gynecology 4587812318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi County Hospital SystemGroup PAC ID 9739230723, 17 clinicians

Practice addresses (Care Compare)

1100 Medical Dr
Blytheville, AR 72315-1425
Phone (870) 838-7460

1521 N 10TH St a
Great River Women'S Clinic
Blytheville, AR 72315-1424
Phone (870) 838-7277

Hospital & facility affiliations

  • Great River Medical Center Hospital, Blytheville, AR, CCN 040069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19869SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services CurrentSince Nov 1, 2018 Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients
Great River Medical Center Past Accepting new patients
Mississippi County Hospital System Past Accepting new patients

Locations

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325

1500 Dodson Ave
Ste 230
Fort Smith, AR 72901
Phone (479) 709-7490

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Interoperability endpoints

  • Direct secure messaging: mark.fowler.1@15274.direct.athenahealth.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/3da9ca85-20c5-41a0-bdcd-1c72cbc6cce2

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1346220449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11450",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "479-709-1924",
            "fax_number": "479-709-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DODSON AVE",
            "address_2": "SUITE 230",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015182",
            "telephone_number": "479-709-7490",
            "fax_number": "479-709-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "19869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.