Michael Lowe
Physician Assistant in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1124539481
StatusActive
Last updated in NPPESOct 10, 2022
Details
- NPI
- 1124539481
- Entity type
- Individual (NPI-1)
- Name
- Michael Lowe
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2017
- Certification date
- Oct 10, 2022
- Last updated
- Oct 10, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10002395A | IN | Yes |
Practice location
11109 Parkview Plaza DrFort Wayne, IN 46845-1701
Phone 260-672-6620 · Fax 260-672-6639
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 325 Physician Assistant providers in Fort Wayne · All 11,302 providers in Fort Wayne
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