Organization Active NPI

John R Fow III DO PC

  • Home Health Agency
  • Shelby Township, MI
National Provider Identifier
1427282961
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5101005649 Issued in MI
Legal business name
JOHN R FOW III DO PC
Practice address
48155 Liberty Dr
Shelby Township, MI 48315-4061
Phone
(586) 739-4779
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
John R Fow III, D.O.
Title
President
Phone
(586) 739-4779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5101005649 MI Primary

Addresses

Primary practice location

48155 Liberty Dr
Shelby Township, MI 48315-4061

Mailing address

48155 Liberty Dr
Shelby Township, MI 48315-4061
Phone (586) 739-4779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1427282961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48155 LIBERTY DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154061",
            "telephone_number": "586-739-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48155 LIBERTY DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154061",
            "telephone_number": "586-739-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R FOW III DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "FOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-739-4779",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "5101005649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.