DR. THOMAS D FOWLKES M. D. NPI 1477649218

NPI Information

NPI: 1477649218
Provider Name: DR. THOMAS D FOWLKES, M. D.
Classification: Internal Medicine - 207RA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
1916 UNIVERSITY AVE
OXFORD, MS
ZIP 38655
Phone: (662) 281-1306
Get Directions

DR. Thomas D Fowlkes, M. D. is an addiction medicine internal medicine in Oxford, MS. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. DR. Thomas D Fowlkes, M. D. NPI is 1477649218. 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:

1916 UNIVERSITY AVE
OXFORD, MS
ZIP 38655-114
Phone: (662) 281-1306
Fax: (662) 281-1326

The NPI 1477649218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/10/2012.

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	207P00000X	Emergency Medicine		13406	MISSISSIPPI	No
2	208D00000X	General Practice		13406	MISSISSIPPI	No
3	207RA0401X	Internal Medicine	Addiction Medicine	13406	MISSISSIPPI	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	5916714	OTHER	MISSISSIPPI	CIGNA PIN
2	F53798	MEDICARE UPIN	MISSISSIPPI
3	P00320722	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	RAILROAD MEDICARE
4	930003537	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	MS MEDICARE
5	01508551	MEDICAID	MISSISSIPPI

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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