DR. MICHAEL JAY STOWELL M.D. NPI 1790760536

NPI Information

NPI: 1790760536
Provider Name: DR. MICHAEL JAY STOWELL, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS INC

PECOS Registration: Yes

Address:
1010 W 2ND ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 334-3955
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DR. Michael Jay Stowell, M.D. is a specialist in Bloomington, IN with 32 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Michael Jay Stowell, M.D. NPI is 1790760536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

1010 W 2ND ST
BLOOMINGTON, IN
ZIP 47403-217
Phone: (812) 334-3955
Fax: (812) 334-5792

The NPI 1790760536 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 12/14/2005 and was last updated on 12/23/2020.

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	174400000X	Specialist		01044682A	INDIANA	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	200086880	MEDICAID	INDIANA

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: 11/14/2023

NPI Synchronization or Removal

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