Carley O'Shea Fowler, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

50432 Issued in TN

Practice address

220 Fort Sanders West Blvd Ste 100
Knoxville, TN 37922-3373

Phone

(865) 470-4127

Fax

(865) 524-0224

NPI assigned

Nov 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ellen McCarley O'Shea Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Tennessee, HSC, College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Center for Dermatology and Plastic Surgery PLGroup PAC ID 9436406717, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.05 of 100Reported as group

Quality

100

Improvement activities

40

Cost

56.83

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carleyfowler@dakpc.allscriptsdirect.net

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.

• Knoxville Center for Dermatology and Plastic Surgery, PL

  • Clinic/Center
  • Knoxville, TN
  • NPI 1942703848
  Medicare reassignment Care Compare group NPD
• East Tennessee Plastic Surgery,P.C.

  • Plastic Surgery Physician
  • Knoxville, TN
  • NPI 1578687372
  NPD

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1619204476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FORT SANDERS WEST BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223373",
            "telephone_number": "865-470-4127",
            "fax_number": "951-257-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FORT SANDERS WEST BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223373",
            "telephone_number": "865-470-4127",
            "fax_number": "865-524-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "CARLEY",
        "middle_name": "O'SHEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-14",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2013015923",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "50432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "O'SHEA",
            "middle_name": "MCCARLEY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janiece Ren'Ee-Lemaster Foust, LCSW
• Rachael M. Foust, PA-C
• Rebecca Fout, LCSW
• Jessica Foutch, FNP
• Bryan Randall Fowler, CRNA
• Carol L Fowler, M.D.
• Casey Fowler
• Daniel Peter Fowler, MD
• Kyra Ashley Fowler, FNP
• Stephen Matthew Fowler, DMD

• Dermatology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.