Active NPI
Michelle R Jowdy, D.O.
- Pediatrics Physician
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0102206420
- Practice address
- 10510 Jefferson Ave Ste E
Newport News, VA 23601-3102 - Phone
- (757) 594-2846
- Fax
- (757) 594-1714
- NPI assigned
- Jun 18, 2007
- Last updated
- Dec 2, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 611 | NE | |
| Pediatrics Physician | 208000000X | 0102206420 | VA | Primary |
Addresses
Primary practice location
10510 Jefferson Ave Ste E
Newport News, VA 23601-3102
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Other practice location 1
6301 Gaston Ave
Suite 125P
Dallas, TX 75214-3922
Phone (214) 414-2805
Other names 1
- Michelle R Jowdy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 611 | NE | MD | Pediatrics Physician |
| 0102206420 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Hospital Inc. | Pediatrics | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Riverside Hospital Inc | Current | Accepting new patients | |
| Riverside Hospital Inc | Current | Accepting new patients | |
| Healthtexas Provider Network | Pediatrics | Current | Accepting new patients |
Locations
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648
10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800
10510 Jefferson Ave
Ste E
Newport News, VA 23601
Phone (757) 594-2846
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
Interoperability endpoints
- mjowdy181370@direct.rivhs.com
Organizations & group practices 5
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 Riverside Internal Medicine Warwick
- Internal Medicine Physician
- Newport News, VA
- NPI 1508019837
-
dba Riverside Smithfield Hospital
- General Acute Care Hospital
- Smithfield, VA
- NPI 1366259863
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1720283112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10510 JEFFERSON AVE STE E",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236013102",
"telephone_number": "757-594-2846",
"fax_number": "757-594-1714"
}
],
"practiceLocations": [
{
"address_1": "6301 Gaston Ave",
"address_2": "Suite 125P",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752143922",
"country_code": "US",
"telephone_number": "214-414-2805",
"fax_number": "469-334-0507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOWDY",
"first_name": "MICHELLE",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "611",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102206420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "JOWDY",
"middle_name": "R",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.