Active NPI
Jeffrey M. Fowler, M.D.
- Gynecologic Oncology Physician
- Hilliard, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 35056039
- Practice address
- 3651 Ridge Mill Dr
Hilliard, OH 43026-7752 - Phone
- (614) 293-3873
- Fax
- (614) 293-3078
- NPI assigned
- Jun 13, 2006
- Last updated
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 01086901A | IN | |
| Gynecologic Oncology Physician | 207VX0201X | 35056039 | OH | Primary |
Addresses
Primary practice location
3651 Ridge Mill Dr
Hilliard, OH 43026-7752
Mailing address
3651 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone (614) 293-3873
Other practice location 1
4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone (812) 842-2210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0677816 | Medicaid | OH | |
| 300057437 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Northwestern University Feinberg Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35056039 | OH | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Women's Hospital of Southern Indiana, LLC | Gynecologic Oncology | Current | Accepting new patients |
| Deaconess Women's Hospital of Southern Indiana, LLC | Gynecologic Oncology | Current | Accepting new patients |
| Deaconess Women's Hospital of Southern Indiana, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Anesthesia Services at The Women's Hospital
- Anesthesiology Physician
- Newburgh, IN
- NPI 1245272921
Gynecologic Oncology
-
dba The Women's Hospital Provider Services
- Gynecologic Oncology Physician
- Newburgh, IN
- NPI 1114297801
-
- Non-Surgical Family Planning Clinic/Center
- Evansville, IN
- NPI 1609689561
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1114023512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1639112451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 RIDGE MILL DR",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267752",
"telephone_number": "614-293-3873",
"fax_number": "614-266-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 RIDGE MILL DR",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267752",
"telephone_number": "614-293-3873",
"fax_number": "614-293-3078"
}
],
"practiceLocations": [
{
"address_1": "4055 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476307451",
"country_code": "US",
"telephone_number": "812-842-2210",
"fax_number": "812-842-4599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOWLER",
"first_name": "JEFFREY",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "IN",
"license": "01086901A",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "OH",
"license": "35056039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0677816",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300057437",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.