Individual provider Active NPI

Steven R Fowler, PA

  • Physician Assistant
  • Taylor, TX
National Provider Identifier
1508817628
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14351 Issued in TX
Practice address
601 Mallard LN Ste a
Taylor, TX 76574-1214
Phone
(737) 270-7730
Fax
(737) 270-7731
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102548 FL
Physician Assistant 363A00000X 368197-1206 UT
Physician Assistant 363A00000X PA1314 NV
Physician Assistant 363A00000X PA14351 TX Primary

Addresses

Primary practice location

601 Mallard LN Ste a
Taylor, TX 76574-1214

Mailing address

5310 Harvest Hill Rd Ste 290
Dallas, TX 75230-5826
Phone (214) 420-0650

Other practice location 1

11410 Jollyville Rd Ste 201
Austin, TX 78759-4097
Phone (512) 345-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210408001049 TX Practitioner - Physician Assistant 0244138766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

1367 Dominion PLZ
Tyler, TX 75703-1013
Phone (903) 534-6200

601 A Mallard LN
Taylor, TX 76574-1214
Phone (737) 270-7730

700 San Gabriel Village Blvd
Suite 105
Georgetown, TX 78626-5594
Phone (903) 534-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA14351TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates Past Accepting new patients
Roopal Bhatt MD, PA Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Past Accepting new patients
Hans M Sander MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fowlers@conger.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: steven.fowler.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 7

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1508817628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305826",
            "telephone_number": "214-420-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MALLARD LN STE A",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741214",
            "telephone_number": "737-270-7730",
            "fax_number": "737-270-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11410 Jollyville Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787594097",
            "country_code": "US",
            "telephone_number": "512-345-8688",
            "fax_number": "512-345-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "STEVEN",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102548",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "368197-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1314",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.