C Patrick Fowler

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1200 Main St
Ste 301a
Columbia, SC 29201-3213

Phone

(803) 261-0742

Fax

(803) 477-3018

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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.

• Fidelity Home Health Care LLC

  • Home Health Agency
  • Columbia, SC
  • NPI 1417767195
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

• Mr. Clarence Patrick Fowler Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629003181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST",
            "address_2": "STE 301A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013213",
            "telephone_number": "803-261-0742",
            "fax_number": "803-477-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST",
            "address_2": "STE 301A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013213",
            "telephone_number": "803-261-0742",
            "fax_number": "803-477-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "C",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARENCE",
            "last_name": "FOWLER",
            "middle_name": "PATRICK",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Lynn Fouquette, M.D.
• Stephanie A Fournel, MSN, APRN, FNP-C
• Jenyfer Foust
• Coleman Deane Fowble, M.D.
• Vonda T Fowke
• Eriyonia Fowler
• Joshua D Fowler, MD
• Melissa Fowler, PA-C
• Sophie Marie Fowler, APRN
• Spencer Fowler, OTR/L

• All providers in Columbia, SC
• Contractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.