Nicholas K Fowler

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

011042 Issued in ME

Practice address

5 Bucknam Rd
Suite 1D
Falmouth, ME 04105-1208

Phone

(207) 781-1775

Fax

(207) 781-1780

NPI assigned

Jan 11, 2007

Last updated

Nov 26, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1780734053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 US ROUTE 1",
            "address_2": "BUILDING C",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747609",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD",
            "address_2": "SUITE 1D",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051208",
            "telephone_number": "207-781-1775",
            "fax_number": "207-781-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "NICHOLAS",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "011042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286180099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Flores, LMT
• Foreside Dental Health Care, PA
• Darcy Forrest
• Foundations Pediatrics, PLLC
• Foundations Physical Therapy LLC
• Gregory David Fox, D.C.
• Rita M Fox, PT
• Philip Frederick, MD
• Theresa Purington Freeman, PT LMT
• Nicole Grace Fritz, LMT

• Pediatrics Physician in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.