Marcia Elizabeth Fowler, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS7283 Issued in FL

Practice address

15660 San Carlos Blvd
Unit # 294
Fort Myers, FL 33908-2526

Phone

(239) 338-8069

Fax

(239) 433-1626

NPI assigned

Aug 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Executive Management for Adult Care LLC

  • Clinic/Center
  • Fort Myers, FL
  • NPI 1700104528
  NPD (past) Authorized official

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1700078441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 SAN CARLOS BLVD.",
            "address_2": "UNIT # 294",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082889",
            "telephone_number": "239-338-8069",
            "fax_number": "239-433-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15660 SAN CARLOS BLVD",
            "address_2": "UNIT # 294",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082526",
            "telephone_number": "239-338-8069",
            "fax_number": "239-433-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MARCIA",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "OS7283",
            "primary": false
        },
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "FL",
            "license": "OS7283",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS7283",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS 7283",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000445200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Fowell, MS
• Fowler Eyecare PL
• Ann Fowler, ARNP
• James E. Fowler, CRNA
• Jeannine M Fowler, OD
• Mariecken Fowler, MD
• Ivory Teodoro Fox, P.T.
• Lauren Fox, APRN
• Mary Evelyn Fox, LMHC, RD
• Rebecca Fox

• Psychiatry Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.