NPIMap

Individual provider Active NPI

Amy Fowler, D.O

  • Internal Medicine Physician
  • Hazard, KY
National Provider Identifier
1801051891
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
03363 Issued in KY
Practice address
101 Town and Country LN
Hazard, KY 41701-9524
Phone
(606) 439-1300
Fax
(606) 439-1400
NPI assigned
Jul 19, 2008
Last updated
Oct 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 03363 KY Primary

Addresses

Primary practice location

101 Town and Country LN
Hazard, KY 41701-9524

Mailing address

120 Ella LN
Jackson, KY 41339-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000311 KY Practitioner - Internal Medicine 9537332838 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain After Hours Clinic PSCGroup PAC ID 0547170102, 31 clinicians

Practice addresses (Care Compare)

1908 N Main St
Suite 120
Hazard, KY 41701-2503
Phone (606) 439-2662

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03363KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc. Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Quantum Healthcare Associates of Cumberland, Inc CurrentSince Jan 21, 2024 Accepting new patients
Mountain After Hours Clinic PSC CurrentSince Jan 21, 2024 Accepting new patients
Memorial Hospital, Inc. Current Accepting new patients
Memorial Hospital, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Jackson Hospital Corporation Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

103 Kingdom Come Dr
Cumberland, KY 40823
Phone (606) 589-5514

1908 N Main St
Ste 120
Hazard, KY 41701

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

Interoperability endpoints

  • Direct secure messaging: afowle04@yourcarecommunity.org
  • Direct secure messaging: amy.fowler@mahc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1801051891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ELLA LN",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019524",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "AMY",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "03363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.