Elizabeth Wentworth Fowler, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A72932 Issued in CA

Practice address

595 Price Ave
Ste E
Redwood City, CA 94063

Phone

(650) 369-4147

Fax

(650) 369-4147

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deborah Elizabeth Wentworth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: efowler39356@direct.stanfordhealthcare.org

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.

• Affinity Medical Group

  • Case Manager/Care Coordinator
  • Foster City, CA
  • NPI 1689708042
  NPD (past)
• Kid Kare Medical Associates Inc

  • Pediatrics Physician
  • Redwood City, CA
  • NPI 1376621755
  NPD (past)
• Lucile Salter Packard Children'S Hospital at Stanford

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1467442749
  NPD (past)
• Palo Alto Medical Foundation

  • Non-Pharmacy Dispensing Site
  • Santa Cruz, CA
  • NPI 1114182649
  NPD (past)
• Stanford Hospital and Clinics

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1174698468
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1477563666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PRICE AVE",
            "address_2": "STE E",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-369-4147",
            "fax_number": "650-369-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 PRICE AVE",
            "address_2": "STE E",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-369-4147",
            "fax_number": "650-369-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ELIZABETH",
        "middle_name": "WENTWORTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A72932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WENTWORTH",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fortra Medical Group of California, PC
• Ashley Nicole Foster
• Foundation for Hearing Research, Inc.
• Foundation Physical Therapy
• Four Seasons Health Center PC
• Taylor Fowler, MFT 1
• Alexander James Fox, MD
• Albert Francis
• Caitlin Francis
• Frank Adair MD a Professional Corp

• Pediatrics Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.