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DR. KENNETH PATRICK FOWLER M.D. NPI 1699849166


NPI Information

NPI: 1699849166
Provider Name: DR. KENNETH PATRICK FOWLER, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
500 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
Phone: (978) 557-8900
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DR. Kenneth Patrick Fowler, M.D. is a pediatrics in Lawrence, MA with 23 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Kenneth Patrick Fowler, M.D. NPI is 1699849166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

500 MERRIMACK ST
LAWRENCE, MA
ZIP 01843-756
Phone: (978) 557-8900
Fax: (978) 557-8811

The NPI 1699849166 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 11/17/2006 and was last updated on 11/19/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine232594MASSACHUSETTSNo
2208000000XPediatrics232594MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AA100849OTHERMASSACHUSETTSHARVARD PILGRIM HEALTH CARE
2J42491OTHERMASSACHUSETTSBCBS
32144409MEDICAIDMASSACHUSETTS
40043950OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
528-38773OTHERMASSACHUSETTSEVERCARE
69013557OTHERMASSACHUSETTSCIGNA
7000457101MEDICARE PINMASSACHUSETTS
81699849166OTHERMASSACHUSETTSFALLON COMMUNITY HEALTH PLAN
9497022OTHERMASSACHUSETTSTUFTS
10946322-02OTHERMASSACHUSETTSNETWORK
1130209506OTHERNEW HAMPSHIRENH MEDICAID
129931092OTHERMASSACHUSETTSAETNA NON HMO
131699849166OTHERMASSACHUSETTSAETNA HMO
141699849166OTHERMASSACHUSETTSANTHEM BS
151699849166OTHERMASSACHUSETTSHMO BLUE
16110077563AMEDICAIDMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.