Organization Active NPI

Richard F Fowler MD PC

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1508030693
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16349 Issued in AZ
Legal business name
RICHARD F FOWLER MD PC
Doing business as
ARIZONA CENTER FOR INTERNAL MEDICINE
Practice address
6315 E Main St
Ste 4
Mesa, AZ 85205-8953
Phone
(480) 830-4164
Fax
(480) 830-5009
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Dr. Richard Francis Fowler, M.D.
Title
President
Phone
(480) 830-4164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 16349 AZ Primary

Addresses

Primary practice location

6315 E Main St
Ste 4
Mesa, AZ 85205-8953

Mailing address

6315 E Main St
Ste 4
Mesa, AZ 85205-8953
Phone (480) 830-4164

Other identifiers 1

IdentifierTypeStateIssuer
110123001OtherAZRAILROAD MEDICARE

Other names 1

  • ARIZONA CENTER FOR INTERNAL MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

6315 E Main St
Ste 4
Mesa, AZ 85205
Phone (480) 830-4164

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1508030693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 E MAIN ST",
            "address_2": "STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058953",
            "telephone_number": "480-830-4164",
            "fax_number": "480-830-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 E MAIN ST",
            "address_2": "STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058953",
            "telephone_number": "480-830-4164",
            "fax_number": "480-830-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F FOWLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-830-4164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "16349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110123001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARIZONA CENTER FOR INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

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