LARRY JOHN FOWLER MD NPI 1417064403

NPI Information

NPI: 1417064403
Provider Name: LARRY JOHN FOWLER, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 265-0238
Get Directions

Larry John Fowler, MD is an anatomic pathology and clinical pathology pathology in Gainesville, FL. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Larry John Fowler, MD NPI is 1417064403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 265-0238
Fax: (352) 265-0437

The enumeration date for this NPI number is 8/24/2006 and was last updated on 12/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	J4806	TEXAS	No
2	207R00000X	Internal Medicine		J4806	TEXAS	No
3	207ZC0500X	Pathology	Cytopathology	J4806	TEXAS	No
4	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	ME105199	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B43711	MEDICARE UPIN	TEXAS
2	CM040Z	MEDICARE PIN	FLORIDA
3	103887902	MEDICAID	TEXAS
4	001415400	MEDICAID	FLORIDA
5	83P002	MEDICARE PIN	TEXAS
6	103887901	OTHER	TEXAS	CSHCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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