Individual provider Active NPI

Robert Kenneth Lowry, PA-C

  • Surgical Physician Assistant
  • Wynnewood, PA
National Provider Identifier
1447568704
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
000331L Issued in PA
Practice address
100 E Lancaster Ave
Mob South Suite 418
Wynnewood, PA 19096-3450
Phone
(484) 476-8464
NPI assigned
Sep 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 000331L PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Mob South Suite 418
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
Mob South Suite 418
Wynnewood, PA 19096-3450
Phone (484) 476-8464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211004229 PA Practitioner - Physician Assistant 7719161306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2200 Arch St
Suite 120
Philadelphia, PA 19103-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000331LPAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Plastic Surgery Associates PLLC CurrentSince Dec 31, 2025 Accepting new patients
Lankenau Medical Center Past Accepting new patients

Locations

2200 Arch St
Ste 120
Philadelphia, PA 19103
Phone (215) 561-9100

775 E Lancaster Ave
Ste 240
Villanova, PA 19085

744 Lancaster Ave
Ste 100
Wayne, PA 19087
Phone (610) 688-3363

100 E Lancaster Ave
Ste 418
Wynnewood, PA 19096
Phone (484) 476-8464

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1447568704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "MOB SOUTH SUITE 418",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "MOB SOUTH SUITE 418",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "ROBERT",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "000331L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.