Robert W. Fowler, M.D. a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C32648 Issued in CA

Legal business name

ROBERT W. FOWLER, M.D. A PROFESSIONAL CORPORATION

Practice address

3010 Colby St
Suite 110
Berkeley, CA 94705-2059

Phone

(510) 644-1152

Fax

(510) 666-1087

NPI assigned

Feb 27, 2007

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth Demery

Title

Practice Manger

Phone

(510) 644-1152

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Irene Dunning, PA-C

  • Surgical Physician Assistant
  • Oakland, CA
  • NPI 1295709491
  NPD (past)
• Joanne Rice, PA-C

  • Physician Assistant
  • Concord, CA
  • NPI 1295163608
  NPD (past)
• Ann Hazen Whisenant, PA-C

  • Surgical Physician Assistant
  • San Leandro, CA
  • NPI 1063486264
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1417084690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST",
            "address_2": "SUITE 110",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052059",
            "telephone_number": "510-644-1152",
            "fax_number": "510-666-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST",
            "address_2": "SUITE 110",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052059",
            "telephone_number": "510-644-1152",
            "fax_number": "510-666-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. FOWLER, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "DEMERY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRACTICE MANGER",
        "authorized_official_telephone_number": "510-644-1152"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C32648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Rivers, CADC I
• Rosalyn Rivkin, LCSW
• Robert a. Fink, MD, Facs, PC
• Robert H. Iezman, DDS and Seth R. Osterman, DDS
• Robert J. Stallone M.D., Inc.
• Briana Robertori, PSYD
• Roberts House of Restoration
• Abia-Imo Eyire Roberts
• Alison Roberts, C.N.M.
• Hannah Roberts

• Surgery Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.