Provider Demographics
NPI:1235182023
Name:ROWEN, HOWARD E JR (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:E
Last Name:ROWEN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 SOUTH GREEN RD
Mailing Address - Street 2:STE 009
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121
Mailing Address - Country:US
Mailing Address - Phone:216-382-8920
Mailing Address - Fax:216-382-1684
Practice Address - Street 1:1611 SOUTH GREEN RD
Practice Address - Street 2:STE 026
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121
Practice Address - Country:US
Practice Address - Phone:216-382-8920
Practice Address - Fax:216-382-1684
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35024502R207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0083421Medicaid
OH0083421Medicaid
OHR00123132Medicare ID - Type Unspecified