Active NPI
David W Lowry MD PC
- Neurological Surgery Physician
- Hollland, MI
National Provider Identifier
1790736692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301075621
- Legal business name
- DAVID W LOWRY MD PC
- Practice address
- 3299 North Wellness Dr
Suite 240 Building C
Hollland, MI 49424 - Phone
- (616) 738-4420
- Fax
- (616) 738-4432
- NPI assigned
- May 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Warren Lowry, MD
- Title
- President
- Phone
- (616) 738-4420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301075621 | MI | Primary |
Addresses
Primary practice location
3299 North Wellness Dr
Suite 240 Building C
Hollland, MI 49424
Mailing address
3299 North Wellness Dr
Suite 240 Building C
Hollland, MI 49424
Phone (616) 738-4420
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407010792 | Other | MI | BCBSM MI |
| ST003962 | Other | MI | STATE LICENSE # |
| DL075621 | Other | MI | STATE LICENSE # |
| 104721043 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1521 Momentum Pl
Chicago, IL 60689
1521 Monentum Pl
Chicago, IL 60689
3299 N Wellness Dr
Bldg C
Holland, MI 49424
Phone (616) 738-4420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Holland, MI
- NPI 1982646949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1790736692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3299 NORTH WELLNESS DR",
"address_2": "SUITE 240 BUILDING C",
"city": "HOLLLAND",
"state": "MI",
"postal_code": "49424",
"telephone_number": "616-738-4420",
"fax_number": "616-738-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3299 NORTH WELLNESS DR",
"address_2": "SUITE 240 BUILDING C",
"city": "HOLLLAND",
"state": "MI",
"postal_code": "49424",
"telephone_number": "616-738-4420",
"fax_number": "616-738-4432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W LOWRY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "LOWRY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "WARREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-738-4420",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301075621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM MI",
"identifier": "1407010792",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "ST003962",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "DL075621",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104721043",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.