Organization Active NPI

John W Fowler Jr. MD PLLC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1396182705
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD011043 Issued in TN
Legal business name
JOHN W FOWLER JR. MD PLLC
Practice address
184 Colonial Rd
Memphis, TN 38117-3206
Phone
(901) 844-2500
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
John W Fowler, MD
Title
Sole Member
Phone
(901) 844-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD011043 TN Primary

Addresses

Primary practice location

184 Colonial Rd
Memphis, TN 38117-3206

Mailing address

PO Box 770175
Memphis, TN 38177-0175
Phone (901) 844-2500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1396182705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770175",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381770175",
            "telephone_number": "901-844-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 COLONIAL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173206",
            "telephone_number": "901-844-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W FOWLER JR. MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "901-844-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD011043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.