Provider Demographics
NPI:1174848527
Name:RODNEY S. LOWE, MD, APC
Entity Type:Organization
Organization Name:RODNEY S. LOWE, MD, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-688-6263
Mailing Address - Street 1:PO BOX 313
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95001-0313
Mailing Address - Country:US
Mailing Address - Phone:831-688-6263
Mailing Address - Fax:831-688-6263
Practice Address - Street 1:7413 MESA DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3313
Practice Address - Country:US
Practice Address - Phone:831-688-6263
Practice Address - Fax:831-688-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG102190208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G102190OtherBLUE SHIELD
CA00G102190Medicaid
CA00G102190OtherCENTRAL COAST ALLIANCE
CA00G102190OtherBLUE SHIELD