Dr. Kenneth Patrick Fowler

M.D. | Pediatrics | Male

Dr. Kenneth Patrick Fowler, M.D. is a Lawrence, Massachusetts based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Kenneth Patrick Fowler is 500 Merrimack St, Lawrence, Massachusetts - 01843-1756. He can be contacted on phone at 978-557-8900 and fax number 978-557-8811. Dr. Kenneth Patrick Fowler is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kenneth Patrick Fowler is 1699849166 which was assigned by NPPES on 17 Nov, 2006 and it was last updated on 19 Nov, 2012. Dr. Kenneth Patrick Fowler license number is 232594 for Pediatrics (208000000X) in Massachusetts.
Dr. Kenneth Patrick Fowler is a pediatrician who 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.
Complete Profile:
Dr. Kenneth Patrick Fowler basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Kenneth Patrick Fowler
Credential :M.D.
Gender :Male
Business Address:
Dr. Kenneth Patrick Fowler address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :500 Merrimack St
Lawrence, MA, 01843-1756
United States
Phone Number :978-557-8900
Fax Number :978-557-8811
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1699849166
NPI Entity Type : Individual
First Enrolment Date : 17 Nov, 2006
Last Updated On : 19 Nov, 2012
Medicare Participation:
Dr. Kenneth Patrick Fowler participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :4183704067
Medicare Enrollment ID :I20080104000167
Primary Specialty :Pediatric Medicine
Medical School :Medical University Of South Carolina College Of Medicine
Graduation Year :2001
Accepts Medicare?Yes. Dr. Kenneth Patrick Fowler accepts medicare insurance.
Group Practice Association:
Dr. Kenneth Patrick Fowler is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kenneth Patrick Fowler is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Mass General Brigham Community Physicians Inc1759273436274500 Merrimack St
Lawrence, MA - 018431981
Ph: 9785578900
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Patrick Fowler are as mentioned. Primary taxonomy code for Dr. Kenneth Patrick Fowler, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
207R00000XInternal MedicineNo232594MA
208000000XPediatricsYes232594MA
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kenneth Patrick Fowler such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
AA100849OtherMAHARVARD PILGRIM HEALTH CARE
J42491OtherMABCBS
2144409MEDICAIDMA
0043950OtherMANEIGHBORHOOD HEALTH PLAN
28-38773OtherMAEVERCARE
9013557OtherMACIGNA
1699849166OtherMAFALLON COMMUNITY HEALTH PLAN
497022OtherMATUFTS
946322-02OtherMANETWORK
30209506OtherNHNH MEDICAID
9931092OtherMAAETNA NON HMO
1699849166OtherMAAETNA HMO
1699849166OtherMAANTHEM BS
1699849166OtherMAHMO BLUE
110077563AMEDICAIDMA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :500 Merrimack St
Lawrence, MA, 01843-1756
United States
Phone Number :978-557-8900
Fax Number :978-557-8811
Business Location:
Patients can refer following map for directions to Dr. Kenneth Patrick Fowler practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.