Provider Demographics
NPI:1164682084
Name:ROWLAND, ANNE P (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:P
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1935 BLUEGRASS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40215-1181
Mailing Address - Country:US
Mailing Address - Phone:502-364-0033
Mailing Address - Fax:502-361-4488
Practice Address - Street 1:9200 LEESGATE RD STE 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-5173
Practice Address - Country:US
Practice Address - Phone:502-895-0040
Practice Address - Fax:502-361-4488
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120117207W00000X
KYTP298207W00000X, 207WX0200X
TN50588207W00000X, 207WX0200X
IN99099771A207W00000X, 207WX0200X
ARE-8356207W00000X
MS22928207W00000X, 207WX0200X
IL036148108207W00000X, 207WX0200X
ARE8356207WX0200X
KY54154207WX0200X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100674350Medicaid
IN300041250Medicaid
TNQ001512Medicaid
MS05201241Medicaid
TNP01226983OtherPALMETTO RR MEDICARE
MS327538YKEOMedicare PIN
TNQ001512Medicaid
MS05201241Medicaid