Charles Robert Fowler, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

DR.0028733 Issued in CO

Practice address

300 W Ottley Ave
Fruita, CO 81521-2118

Phone

(970) 858-2149

Fax

(970) 858-2200

NPI assigned

Aug 1, 2006

Last updated

Apr 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, MT2 enrollments

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 2

Specialty

Emergency Medicine

Education

Creighton University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Frances Mahon Deaconess HospitalGroup PAC ID 3173430949, shared by 5 NPIs, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071
• Intermountain Health St. Mary's Regional Hospital Hospital, Grand Junction, CO, CCN 060023
• Montrose Regional Health Hospital, Montrose, CO, CCN 060006
• Community Hospital Hospital, Grand Junction, CO, CCN 060054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Delta County Memorial Hospital

  dba Delta Health

  • Rural Acute Care Hospital
  • Delta, CO
  • NPI 1417935446
  Medicare reassignment Care Compare group NPD
• Mountain Radiology, Inc

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1093823742
  Medicare reassignment NPD
• Western Colorado Radiologic Associates, PC

  • Diagnostic Neuroimaging (Radiology) Physician
  • Grand Junction, CO
  • NPI 1316929284

  Diagnostic Radiology

  Medicare reassignment NPD
• Frances Mahon Deaconess Hospital

  • Emergency Medicine Physician
  • Glasgow, MT
  • NPI 1639117013
  Medicare reassignment NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  Medicare reassignment NPD
• Delta County Memorial Hospital

  dba Delta Health Urgent Care and Behavioral Health Center

  • Rural Health Clinic/Center
  • Delta, CO
  • NPI 1629521539
  NPD
• Frances Mahon Deaconess Hospital

  dba Deaconess Radiology Service

  • Diagnostic Radiology Physician
  • Glasgow, MT
  • NPI 1013021500
  NPD
• Diversified Radiology of Colorado, Inc

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1205923596
  NPD (past)
• Rocky Mountain Medical Imaging, PC

  • Specialist
  • Longmont, CO
  • NPI 1811923402
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Colorado West Healthcare System

  dba Community Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Care Compare affiliation
• Delta County Memorial Hospital

  dba Delta Health

  • Rural Acute Care Hospital
  • Delta, CO
  • NPI 1417935446
  Care Compare affiliation
• Montrose Memorial Hospital, Inc

  dba Montrose Regional Health

  • General Acute Care Hospital
  • Montrose, CO
  • NPI 1205822186
  Care Compare affiliation
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's CareFlight

  • Ambulance
  • Grand Junction, CO
  • NPI 1164060877

  Hospital

  Care Compare affiliation
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Anticoagulation Clinic

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1619742806
  Care Compare affiliation
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Hospital & Medical Center Life Center OT/PT/SP

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1821647801
  Care Compare affiliation
• St. Mary's Hospital and Medical Center, Inc.

  dba Intermountain Health St Mary's Regional Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1699716027
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1730196288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2149",
            "fax_number": "970-858-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OTTLEY AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212118",
            "telephone_number": "970-858-2149",
            "fax_number": "970-858-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 21st St",
            "address_purpose": "LOCATION",
            "city": "Glenwood Springs",
            "state": "CO",
            "postal_code": "816014287",
            "country_code": "US",
            "telephone_number": "970-945-7564",
            "fax_number": "970-945-0563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0028733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Draminski, MD
• Lisa Draminski
• Lorrie Lee Etenburn, CST/CFA
• Extra Mile Service
• Laken Renee Eyler, PA-C
• Sarah Franzitta
• Eric W Frevert, PA
• Fruita Canyon Dental
• Fruita Chiropractic and Massage
• Angela Kuzminski Gao, DO

• Diagnostic Radiology Physician in Fruita, CO
• Providers in Fruita, CO by specialty
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.

Verify at the official NPI Registry.