Individual provider Active NPI

Maire Elizabeth Fowler, DO

  • Internal Medicine Physician
  • Topeka, KS
National Provider Identifier
1679794127
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-32672 Issued in KS
Practice address
3405 NW Hunters Ridge Ter
Suite 100
Topeka, KS 66618-2509
Phone
(785) 246-3733
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-32672 KS Primary

Addresses

Primary practice location

3405 NW Hunters Ridge Ter
Suite 100
Topeka, KS 66618-2509

Mailing address

3405 NW Hunters Ridge Ter
Suite 100
Topeka, KS 66618-2509
Phone (785) 246-3733

Other identifiers 1

IdentifierTypeStateIssuer
200531070AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20071203000665 KS Practitioner - Internal Medicine 3971692658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-32672KSMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1679794127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 NW HUNTERS RIDGE TER",
            "address_2": "SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182509",
            "telephone_number": "785-246-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 NW HUNTERS RIDGE TER",
            "address_2": "SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182509",
            "telephone_number": "785-246-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MAIRE",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-32672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531070A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.